Hateem Siddiqui MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HATEEM SIDDIQUI MD PC

Practice address

1800 Western Ave Ste 409
San Bernardino, CA 92411-1355

Phone

(909) 202-4336

Fax

(909) 222-6023

NPI assigned

Jan 4, 2025

Organization subpart

No

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

Authorized official

Name

Hateem Siddiqui, MDNPI 1487099669

Title

Owner

Phone

(818) 770-9073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Hateem Siddiqui

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1487099669
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1386453355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917290091",
            "telephone_number": "818-770-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESTERN AVE STE 409",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111355",
            "telephone_number": "909-202-4336",
            "fax_number": "909-222-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATEEM SIDDIQUI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "HATEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-770-9073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sara M Hassan, ACSW
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• La Tjara Hawkins
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• Internal Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.