Asha Pritpal Singh Sidhu, MD
Individual provider Active NPI Internal Medicine Physician · Fresno, CA
NPI 1255430286 · NPPES record last updated Jun 25, 2018
Key facts
- NPI
- 1255430286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A66417 (CA)
- Practice address
- 5771 N Fresno St
Suite 109
Fresno, CA 93710 - Phone
- (559) 222-6500
- Fax
- (559) 222-6555
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 16
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Coalinga Regional Medical Center
Department of Veterans Affairs of the State of California
Fresno Long Term Care Medical Group Inc
Practice addresses (Care Compare)
1191 Phelps Ave
Coalinga, CA 93210-9609
2811 W California Ave
Fresno, CA 93706-2306
Phone (559) 493-4221
5150 N 6TH St
Suite 149
Fresno, CA 93710-7505
Phone (559) 222-6500
Hospital & facility affiliations
- Inhome Healthcare Services
- Therapeutic Home Healthcare
- Compassionate Care Home Health Agency, LLC
- Heal Home Health Inc
- Omnia Healthcare, LLC
- Hinds Hospice - Fresno
- Bright Horizon Hospice Services
- Saint Agnes Medical Center
- Adventist Health Reedley
- Community Regional Medical Center
- Clovis Community Medical Center
- Covenant Post Acute
- Keystone Post-Acute
- Cornerstone Care Center
- Morning Star Post Acute
- Vineyards at Fowler
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| California Armenian Home |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Apr 1, 2007 Apr 1, 2007 |
| Veterans Home of California - Fresno |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 20, 2014 Mar 20, 2014 |
| Fresno Postacute Care |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 16, 2016 Jan 16, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100324000734 | CA | Practitioner - Internal Medicine |
9234224593 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A66417 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Veterans Affairs of the State of California | Current | Accepting new patients | |
| Department of Veterans Affairs of the State of California | Current |
Accepting new patients | |
| Senior Care Medical Providers Inc | Current |
Accepting new patients | |
| Department of Veterans Affairs of the State of California | Current |
Accepting new patients | |
| Fresno Long Term Care Medical Group Inc. | Internal Medicine | Current |
Accepting new patients |
| Careconnectmd Ca PC | Current |
Accepting new patients | |
| Saint Agnes Medical Center | Past | Accepting new patients | |
| Manning Gardens Care Center Inc | Past | Accepting new patients | |
| Sierra Podiatry Corporation | Past | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
5150 N 6th St
Ste 149
Fresno, CA 93710
Phone (559) 222-6500
3672 N 1st St
Fresno, CA 93726
Phone (559) 227-5383
5771 N Fresno St
Ste 109
Fresno, CA 93710
Phone (559) 222-6500
2113 E Manning Ave
Fresno, CA 93725
Phone (559) 834-2586
925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785
1227 O St
Rm 402
Sacramento, CA 95814
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEBGCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A66417 | CA | Yes |
Addresses
Primary practice location
5771 N Fresno St
Suite 109
Fresno, CA 93710
Mailing address
5771 N Fresno St
Suite 109
Fresno, CA 93710-6091
Phone (559) 222-6500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0089330 | Medicaid | CA |
Other providers in Fresno, CA
- Nallely Sida
- Richard Bryce Sidebotham
- Sidhu & Bhatia Dental Corporation
- Sidhu Family Dentistry
- Amreen Kaur Sidhu
- Baljeet S. Sidhu
- Baltej Singh Sidhu
- Divya Ullal Sidhu
- Gagandeep Singh Sidhu
- Gurcharan Singh Sidhu
All providers in Fresno, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.