Active NPI
Siddharth Agarwal, M.D.
- Vascular Surgery Physician
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A123737
- Practice address
- 2841 N Ventura Rd
Suite 200
Oxnard, CA 93036-2213 - Phone
- (805) 983-6233
- NPI assigned
- May 2, 2007
- Last updated
- Feb 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MT190387 | PA | |
| Vascular Surgery Physician | 2086S0129X | A123737 | CA | Primary |
Addresses
Primary practice location
2841 N Ventura Rd
Suite 200
Oxnard, CA 93036-2213
Mailing address
2841 N Ventura Rd
Suite 200
Oxnard, CA 93036-2213
Phone (805) 983-6233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Boston University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1611 W March LN
Stockton, CA 95207-6401
Phone (209) 226-3400
500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000
Hospital & facility affiliations
- St Joseph's Medical Center of Stockton
- San Joaquin General Hospital
- Washington Hospital
- Sutter Tracy Community Hospital
- Oroville Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT190387 | PA | MD | Surgery Physician |
| A123737 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orohealth Corporation a Non Profit Healthcare System | Current | Accepting new patients | |
| Aria Vascular a Professional Medical Corporation | Vascular Surgery | Current | Accepting new patients |
| San Joaquin Faculty Medical Group | Current | Accepting new patients | |
| Washington Township Medical Foundation | Surgery | Current | Accepting new patients |
| County of San Joaquin | Current | Accepting new patients | |
| Washington Township Medical Foundation | Current | Accepting new patients | |
| Authority Vascular Surgery Incorporated | Vascular Surgery | Current | Accepting new patients |
| County of San Joaquin | Current | Accepting new patients |
Locations
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
500 W Hospital Rd
#1112
French Camp, CA 95231
Phone (209) 468-6000
450 Glass Ln
Ste C
Modesto, CA 95356
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544
2809 Olive Hwy
Oroville, CA 95966
Phone (530) 533-1545
2809 Olive Hwy
Ste 220
Oroville, CA 95966
Phone (530) 532-8161
1611 W March Ln
Stockton, CA 95207
Phone (209) 226-3400
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410
1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Stockton, CA
- NPI 1164260741
Vascular Surgery
-
- Vascular Surgery Physician
- Stockton, CA
- NPI 1730983131
-
dba San Joaquin General Hospital
- General Acute Care Hospital
- French Camp, CA
- NPI 1801830583
-
- Internal Medicine Physician
- French Camp, CA
- NPI 1225063761
-
dba Orohealth Professional Group
- Family Medicine Physician
- Oroville, CA
- NPI 1013933167
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1346557014
Surgery
-
dba San Joaquin County Clinic Manteca
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
-
dba Washington Health Urgent Care
- Urgent Care Clinic/Center
- Fremont, CA
- NPI 1669360681
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba San Joaquin General Hospital
- General Acute Care Hospital
- French Camp, CA
- NPI 1992870430
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1871606269
-
dba St. Joseph's Medical Center of Stockton
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
dba Sutter Tracy Community Hospital
- General Acute Care Hospital
- Tracy, CA
- NPI 1821442864
-
dba Washington Hospital
- General Acute Care Hospital
- Fremont, CA
- NPI 1780614685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1407078496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 N VENTURA RD",
"address_2": "SUITE 200",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362213",
"telephone_number": "805-983-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 N VENTURA RD",
"address_2": "SUITE 200",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362213",
"telephone_number": "805-983-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGARWAL",
"first_name": "SIDDHARTH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MT190387",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A123737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.