NPIMap

Individual provider Active NPI

Mohammad Modassir Siddiqui, MD

  • Family Medicine Physician
  • Chino, CA
National Provider Identifier
1356963185
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A190147 Issued in CA
Practice address
5451 Walnut Ave
Chino, CA 91710-2609
Phone
(909) 464-8600
NPI assigned
May 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A190147 CA Primary

Addresses

Primary practice location

5451 Walnut Ave
Chino, CA 91710-2609

Mailing address

5451 Walnut Ave
Chino, CA 91710-2609
Phone (909) 464-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231207002585 CA Practitioner - Family Practice 8325497910 Reassigns benefits to 4 organizations
I20241226000207 WY Practitioner - Family Practice 8325497910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onyx Medical Group IncGroup PAC ID 3870016579, 11 clinicians
Remedial Patients Care IncGroup PAC ID 1254719909, 6 clinicians
Epic Medical Group,IncGroup PAC ID 4385883958, 54 clinicians
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians

Practice addresses (Care Compare)

1451 Rimpau Ave
Suite 212
Corona, CA 92879-7522
Phone (951) 346-0041

4955 Van Nuys Blvd
Suite 308
Sherman Oaks, CA 91403-1811
Phone (818) 528-1260

5450 Jefferson Ave
Suite 3
Chino, CA 91710-3522
Phone (909) 464-8722

Hospital & facility affiliations

  • Helping Hands Home Services, Inc Home health agency, Glendale, CA, CCN 757699
  • Themis Home Health, Inc. Home health agency, Glendale, CA, CCN 757796
  • Korean Town Home Care Home health agency, Glendale, CA, CCN 059158
  • Always Yes Home Health Care Inc Home health agency, La Crescenta, CA, CCN 559214
  • Alpha Home Health Home health agency, Ontario, CA, CCN 059452
  • Chino Valley Medical Center Hospital, Chino, CA, CCN 050586
  • Montclair Hospital Medical Center Hospital, Montclair, CA, CCN 050758
  • San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146
  • Community Care on Palm Nursing home, Riverside, CA, CCN 555711
  • Trellis Chino Nursing home, Chino, CA, CCN 555910
  • Villa Mesa Care Center Nursing home, Upland, CA, CCN 056136
  • Inland Valley Care and Rehabilitation Center Nursing home, Pomona, CA, CCN 056431
  • Chino Valley Health Care Cente Nursing home, Pomona, CA, CCN 055126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A190147CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Remedial Patients Care Inc CurrentSince Mar 5, 2025 Accepting new patients
Modax Corporation Family Medicine Current Accepting new patients
Epic Medical Group,Inc CurrentSince Oct 23, 2023 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Nov 28, 2023 Accepting new patients
Sound Physicians of Wyoming, LLC Family Medicine CurrentSince Nov 5, 2024 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Onyx Medical Group Inc CurrentSince Mar 10, 2025 Accepting new patients
Desert Valley Medical Group, Inc Family Medicine CurrentSince Nov 28, 2023 Accepting new patients

Locations

5450 Jefferson Ave
Ste 3
Chino, CA 91710
Phone (909) 464-8600

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

1451 Rimpau Ave
Ste 213
Corona, CA 92879
Phone (951) 268-6272

1451 Rimpau Ave
Ste 212
Corona, CA 92879
Phone (951) 346-0041

501 W Glenoaks Blvd
Ste 26
Glendale, CA 91202

4940 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403
Phone (818) 528-1222

4955 Van Nuys Blvd
Ste 308
Van Nuys, CA 91403
Phone (818) 387-6114

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1356963185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 WALNUT AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102609",
            "telephone_number": "909-464-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 WALNUT AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102609",
            "telephone_number": "909-464-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MOHAMMAD",
        "middle_name": "MODASSIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A190147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.