Sukhnandan Sidhu, M.D. ; M.B.,B.S.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A72536 Issued in CA

Practice address

13975 Mono Way
Sonora, CA 95370-2824

Phone

(209) 533-9606

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

M a C T Health Board IncorporatedGroup PAC ID 8325936974, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sukhnandan.sidhumd.p1@direct.macthealth.nextgenshare.com

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.

• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  Medicare reassignment Care Compare group NPD
• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • San Andreas, CA
  • NPI 1366519431

  TX

  Medicare reassignment Care Compare group
• Golden Valley Health Centers

  • Community/Retail Pharmacy
  • Merced, CA
  • NPI 1093817405
  NPD
• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Empire, CA
  • NPI 1326493115
  NPD
• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • Sonora, CA
  • NPI 1154147445
  NPD (past)
• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • Sonora, CA
  • NPI 1467444364
  NPD (past)
• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • Valley Springs, CA
  • NPI 1649091109
  NPD (past)
• M a C T Health Board Incorporated

  • Clinic/Center
  • Sonora, CA
  • NPI 1871237040
  NPD (past)
• M a C T Health Board, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Sutter Creek, CA
  • NPI 1417741869
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1306931522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "952220939",
            "telephone_number": "209-988-9001",
            "fax_number": "209-398-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 MONO WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702824",
            "telephone_number": "209-533-9606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504437",
            "country_code": "US",
            "telephone_number": "209-549-7090",
            "fax_number": "209-549-7099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2937 Veneman Ave",
            "address_2": "Suite A110",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "95356",
            "country_code": "US",
            "telephone_number": "209-204-3829",
            "fax_number": "209-576-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "SUKHNANDAN",
        "credential": "M.D. ; M.B.,B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A72536",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A72536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Frederick Shield, MD
• Melissa Danette Shotell, DMD, MS
• Lee Harvey Shuemake, D.C.
• Rich Wiley Shuey, D.C.
• Peter Allen Shumway, OD
• Sierra Care Surgery Inc
• Sierra Emergency Medical Group Inc.
• Sierra Housecalls Medical Group
• Sierra Lifenet
• Sierra Midwifery Professional Corporation

• Child & Adolescent Psychiatry Physician in Sonora, CA
• Providers in Sonora, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.

Verify at the official NPI Registry.