Active NPI
Adam Sidky, M.D.
- Adult Reconstructive Orthopaedic Surgery Physician
- Palo Alto, CA
National Provider Identifier
1326296369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- A105358
- Practice address
- 300 Pasteur Dr
Room R144
Palo Alto, CA 94305-2200 - Phone
- (650) 725-5903
- Fax
- (650) 724-3044
- NPI assigned
- Sep 3, 2008
- Last updated
- Sep 3, 2008
- 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 |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | A105358 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Room R144
Palo Alto, CA 94305-2200
Mailing address
3782 Corina Way
Palo Alto, CA 94303-4504
Phone (650) 815-9794
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
| License | State | Type | Specialty |
|---|---|---|---|
| A105358 | CA | MD | Adult Reconstructive Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1326296369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3782 CORINA WAY",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943034504",
"telephone_number": "650-815-9794",
"fax_number": "650-724-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"address_2": "ROOM R144",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-725-5903",
"fax_number": "650-724-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDKY",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "CA",
"license": "A105358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.