Cal Kidney Care Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CAL KIDNEY CARE INC

Practice address

1140 Norman Dr Ste 4
Manteca, CA 95336-5900

Phone

(209) 943-0851

NPI assigned

Nov 8, 2019

Organization subpart

No

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

Authorized official

Name

Shivjitinder Sidhu, MDNPI 1841549607

Title

Chairman

Phone

(209) 943-0851

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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

• Shivjitinder Sidhu, M.D.

  • Nephrology Physician
  • Stockton, CA
  • NPI 1841549607
  Medicare reassignment Care Compare group NPD Authorized official
• Rohanjit S. Sidhu, M.D.

  • Nephrology Physician
  • Stockton, CA
  • NPI 1417370958
  Medicare reassignment Care Compare group NPD
• Bernadette Lourdes Torres Pua, NP

  • Family Nurse Practitioner
  • Stockton, CA
  • NPI 1114320652
  Medicare reassignment NPD
• Gaganpreet Kaur, NP

  • Family Nurse Practitioner
  • Ceres, CA
  • NPI 1821551953
  Medicare reassignment

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1295370799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 NORMAN DR STE 4",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 NORMAN DR STE 4",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365900",
            "telephone_number": "209-943-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAL KIDNEY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "SHIVJITINDER",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "209-943-0851",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swarna Byri, M.D
• Wilner Clifford Cacho, DDS
• Crystal Cadena
• Mas'Ood Cajee, DDS
• Nabeel Ahmed Cajee, D.D.S.
• California Em-I Medical Services, a Medical Corporation
• Dominique N Camarena
• Scott Camoirano, PHARMD
• Sandra Campos - Mendoza
• Rafael J Campos

• Medical Specialty Clinic/Center in Manteca, CA
• Providers in Manteca, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.