Organization Active NPI

Sanjiv K Midha MD

Doing business as Childrens Clinic

  • Pediatrics Physician
  • Colusa, CA
National Provider Identifier
1285751222
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A70328 Issued in CA
Legal business name
SANJIV K MIDHA MD
Doing business as
Childrens Clinic
Practice address
348 Market St
Suite B
Colusa, CA 95932-2422
Phone
(530) 458-2300
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Sanjiv Midha, M.D.
Title
Owner
Phone
(530) 674-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A70328 CA Primary

Addresses

Primary practice location

348 Market St
Suite B
Colusa, CA 95932-2422

Mailing address

2017 Eager Rd
Live Oak, CA 95953-9741
Phone (530) 674-2100

Other identifiers 1

IdentifierTypeStateIssuer
RHM08912FMedicaidCA

Other names 1

  • Childrens Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

348 Market St
Ste B
Colusa, CA 95932
Phone (530) 458-2300

320 Alisal Rd
Ste 400
Solvang, CA 93463
Phone (805) 259-6139

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1285751222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 EAGER RD",
            "city": "LIVE OAK",
            "state": "CA",
            "postal_code": "959539741",
            "telephone_number": "530-674-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MARKET ST",
            "address_2": "SUITE B",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322422",
            "telephone_number": "530-458-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJIV K MIDHA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "MIDHA",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-674-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A70328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM08912F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.