Individual provider Active NPI

Siddharth Agarwal, M.D.

  • Vascular Surgery Physician
  • Oxnard, CA
National Provider Identifier
1407078496
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A123737 Issued in CA
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121203000496 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 2466604160 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Boston University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Vascular a Professional Medical CorporationGroup PAC ID 6204350093, 10 clinicians
Authority Vascular Surgery IncorporatedGroup PAC ID 2961905567, 5 clinicians
San Joaquin Faculty Medical GroupGroup PAC ID 4082631395, 126 clinicians
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT190387PAMDSurgery Physician
A123737CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orohealth Corporation a Non Profit Healthcare System CurrentSince Mar 26, 2021 Accepting new patients
Aria Vascular a Professional Medical Corporation Vascular Surgery CurrentSince Apr 1, 2025 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince May 28, 2025 Accepting new patients
Washington Township Medical Foundation Surgery CurrentSince Jul 11, 2024 Accepting new patients
County of San Joaquin CurrentSince May 22, 2025 Accepting new patients
Washington Township Medical Foundation CurrentSince Jul 11, 2024 Accepting new patients
Authority Vascular Surgery Incorporated Vascular Surgery CurrentSince Jul 1, 2025 Accepting new patients
County of San Joaquin CurrentSince May 22, 2025 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.