Active NPI
Shon Marcos Sidransky, M.D.
- Emergency Medicine Physician
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A91030
- Practice address
- 1600 N Rose Ave
Oxnard, CA 93030-3722 - Phone
- (805) 988-2843
- Fax
- (805) 988-2844
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A91030 | CA | Primary |
Addresses
Primary practice location
1600 N Rose Ave
Oxnard, CA 93030-3722
Mailing address
1398 La Crescentia Dr
Chula Vista, CA 91910-7942
Phone (619) 987-5554
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A910300 | Medicaid | CA | |
| 1285646448 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Rutgers New Jersey Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111
Hospital & facility affiliations
- Southwest Healthcare Rancho Springs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91030 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temecula Valley Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Team Physicians of Northern California Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Corona Regional Emergency Medical Associates Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Services Medical Corporation | Emergency Medicine | Current | Accepting new patients |
| Palomar Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Em Alliance California, Apc | Emergency Medicine | Current | Accepting new patients |
| H Allen Hooper, M.D. a Professional Corporation | Past | Accepting new patients | |
| H. Allen Hooper, M.D. a Professional Corporation | Emergency Medicine | Past | Accepting new patients |
Locations
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000
15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778
L4421
Columbus, OH 43260
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1376305755
-
- Emergency Medicine Physician
- Corona, CA
- NPI 1134629298
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1699725069
-
- Emergency Medicine Physician
- Escondido, CA
- NPI 1124698139
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1649692716
-
- Emergency Medicine Physician
- Temecula, CA
- NPI 1407281223
-
- Family Medicine Physician
- Camarillo, CA
- NPI 1205870540
-
- Emergency Medicine Physician
- Oxnard, CA
- NPI 1376575118
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239580800000",
"number": "1285646448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1398 LA CRESCENTIA DR",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919107942",
"telephone_number": "619-987-5554",
"fax_number": "619-271-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N ROSE AVE",
"city": "OXNARD",
"state": "CA",
"postal_code": "930303722",
"telephone_number": "805-988-2843",
"fax_number": "805-988-2844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDRANSKY",
"first_name": "SHON",
"middle_name": "MARCOS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2009-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A91030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A910300",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285646448",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.