Alfred A Sidhom, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A35526 Issued in CA

Practice address

1211 W la Palma Ave Ste 502
Anaheim, CA 92801-2812

Phone

(714) 776-7090

Fax

(714) 776-5632

NPI assigned

Jun 23, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alfred a Sidhom M D IncGroup PAC ID 9335053420, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alfred a Sidhom M D Inc

  • Specialist
  • Anaheim, CA
  • NPI 1154441343
  Medicare reassignment Care Compare group Authorized official
• Uci Department of Urology

  • Urology Physician
  • Orange, CA
  • NPI 1255398533
  Medicare reassignment NPD
• Frank M. Dalessandro MD Inc

  • Family Medicine Physician
  • Cypress, CA
  • NPI 1508230756
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1114923265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "STE 502",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012812",
            "telephone_number": "714-776-7090",
            "fax_number": "714-776-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 502",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012812",
            "telephone_number": "714-776-7090",
            "fax_number": "714-776-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHOM",
        "first_name": "ALFRED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A35526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A355260M92",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Shwachman
• Alice Y Si
• Siamak Veshkini D.M.D. a Professional Corporation
• Deborah Ohui Siameh, NP-F
• Dorothy L. Siddall, MD
• Deepa Sidhu, DDS
• Parneet Sidhu
• Franklin Sidik
• Paula Sidler
• Neil Howard Siegel, MD

• Urology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.