NPIMap

Individual provider Active NPI

Jaisimaran K Sidhu, MD

  • Family Medicine Physician
  • Porterville, CA
National Provider Identifier
1174784300
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116018858 Issued in VA
Practice address
590 W Putnam Ave
Suite # 9
Porterville, CA 93257-3257
Phone
(559) 784-4807
Fax
(559) 781-4523
NPI assigned
Jun 20, 2008
Last updated
Aug 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116018858 VA Primary
Family Medicine Physician 207Q00000X A106157 CA

Addresses

Primary practice location

590 W Putnam Ave
Suite # 9
Porterville, CA 93257-3257

Mailing address

590 W Putnam Ave
Suite # 9
Porterville, CA 93257-3257
Phone (559) 784-4807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110329000834 CA Practitioner - Family Practice 4587847587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sequoia Healthcare AllianceGroup PAC ID 7911319645, 13 clinicians

Practice addresses (Care Compare)

560 W Putnam Ave
Porterville, CA 93257-3269
Phone (559) 784-5337

590 W Putnam Ave
Suite 9
Porterville, CA 93257-3257

841 W Morton Ave
Porterville, CA 93257-3184
Phone 55935944151022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
89.61
Improvement activities
40
Cost
73.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A106157CAMDFamily Medicine Physician
0116018858VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Healthcare Alliance Family Medicine CurrentSince Jan 15, 2021 Accepting new patients
Valley Healthcare Centers PastSince Dec 9, 2016 Accepting new patients
William H Goodin MD Inc Family Medicine PastSince Jan 15, 2021 Accepting new patients
Sequoia Family Medical Center, Inc Past Accepting new patients
Sierra View Local Health Care District Past Accepting new patients
Valley Healthcare Centers PastSince Aug 18, 2019 Accepting new patients

Locations

585 W Putnam Ave
Porterville, CA 93257
Phone (559) 359-4415

590 W Putnam Ave
Ste 9
Porterville, CA 93257
Phone (559) 784-4807

841 W Morton Ave
Porterville, CA 93257
Phone 55935944151022

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lindsay Family and Pediatrics ClinicLindsay, CA, CCN 058918 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
W-2 Managing Employee		 Dec 9, 2016
Dec 9, 2016
Dec 9, 2016
Sequoia Family Medical CenterPorterville, CA, CCN 553820 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
W-2 Managing Employee		 Dec 9, 2016
Dec 9, 2016
Dec 9, 2016
Sequoia Family Medical CenterLindsay, CA, CCN 558903 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
W-2 Managing Employee		 Dec 9, 2016
Dec 9, 2016
Dec 9, 2016
Sequoia Family Medical CenterEarlimart, CA, CCN 558908 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
W-2 Managing Employee		 Dec 9, 2016
Dec 9, 2016
Dec 9, 2016

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Valley Healthcare Centers

    dba Sequoia Family Medical Center

    • Rural Health Clinic/Center
    • Earlimart, CA
    • NPI 1124643598

    5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

    CMS ownership
  • Valley Healthcare Centers
    • Rural Health Clinic/Center
    • Lindsay, CA
    • NPI 1538606280

    5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

    CMS ownership
  • Valley Healthcare Centers
    • Rural Health Clinic/Center
    • Porterville, CA
    • NPI 1790221703

    5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

    CMS ownership
  • Valley Healthcare Centers

    dba Sequoia Family Medical Center

    • Rural Health Clinic/Center
    • Lindsay, CA
    • NPI 1790331817

    5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

    CMS ownership

Organizations & group practices 6

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1174784300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W PUTNAM AVE",
            "address_2": "SUITE # 9",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573257",
            "telephone_number": "559-784-4807",
            "fax_number": "559-781-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W PUTNAM AVE",
            "address_2": "SUITE # 9",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573257",
            "telephone_number": "559-784-4807",
            "fax_number": "559-781-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "JAISIMARAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116018858",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A106157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.