Individual provider Active NPI

Sanjiv Kumar Midha, MD

  • Pediatrics Physician
  • Yuba City, CA
National Provider Identifier
1265476014
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A70328 Issued in CA
Practice address
1215 Plumas St
Ste 1900
Yuba City, CA 95991-3455
Phone
(530) 674-2100
Fax
(530) 674-2277
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A70328 CA Primary

Addresses

Primary practice location

1215 Plumas St
Ste 1900
Yuba City, CA 95991-3455

Mailing address

1215 Plumas St
Ste 1900
Yuba City, CA 95991-3455
Phone (530) 674-2100

Other identifiers 1

IdentifierTypeStateIssuer
00A703280MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A70328CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjiv Midha MD a Medical Corporation a Professional Corporation Pediatrics CurrentSince Jun 26, 2022 Accepting new patients
Riverside Health Clinic of Colusa Pediatrics CurrentSince Aug 1, 2015 Accepting new patients
Jasbir S Kang MD & Sanjiv Midha MD a Medical Corporation Pediatrics Current Accepting new patients

Locations

717 Bridge St
Colusa, CA 95932
Phone (530) 458-2300

50 E Gridley Rd
Gridley, CA 95948
Phone (530) 674-2100

527 E St
Marysville, CA 95901
Phone (530) 674-2100

1215 Plumas St
Ste 1900
Yuba City, CA 95991
Phone (530) 674-2100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1265476014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST",
            "address_2": "STE 1900",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913455",
            "telephone_number": "530-674-2100",
            "fax_number": "530-674-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST",
            "address_2": "STE 1900",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913455",
            "telephone_number": "530-674-2100",
            "fax_number": "530-674-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDHA",
        "first_name": "SANJIV",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A70328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A703280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.