Javed Siddiqi, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A62389 Issued in CA

Practice address

400 N Pepper Ave
Armc Modular#3
Colton, CA 92324-1801

Phone

(909) 580-6210

Fax

(909) 580-1363

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Neurosurgery

Education

Univ of Western Ontario Schulich School of Med, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jsiddiqi18050@armc.direct.summit-healthcare.org
• Direct secure messaging: jsiddiqi101057@direct.llu.edu

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.

• Arrowhead Neurosurgical Medical Group, Inc.

  • Neurological Surgery Physician
  • Moreno Valley, CA
  • NPI 1639255854
  Medicare reassignment NPD Authorized official
• Eisenhower Medical Center

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  Medicare reassignment Care Compare group NPD
• Cal Med Physicians and Surgeons, Inc.

  • Surgery Physician
  • Colton, CA
  • NPI 1316054737

  Neurological Surgery

  Medicare reassignment NPD
• Emergency Associates Corporation

  • Emergency Medicine Physician
  • Rancho Mirage, CA
  • NPI 1003866120
  Medicare reassignment
• Eisenhower Medical Center

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1346723194
  NPD
• Eisenhower Medical Center

  • General Acute Care Hospital
  • Cathedral City, CA
  • NPI 1629384615
  NPD
• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)
• Taqi'S Inc.

  • Vascular Neurology Physician
  • Moreno Valley, CA
  • NPI 1790112456
  NPD (past)
• Diagnostic Imaging Services

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Metairie, LA
  • NPI 1699793166
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1407963176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-747-0371",
            "fax_number": "909-307-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "address_2": "ARMC MODULAR#3",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-6210",
            "fax_number": "909-580-1363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-507-8473",
            "fax_number": "760-507-8316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "JAVED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A62389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashi Shrivastava
• Paul Paul Shubin Jr.
• Chandler Shyu, MD
• Kodie Lee Sibbett
• Alysa Michelle Sibrian
• Usman Siddiqui
• Shaun Sidhu
• Stella Sien, D.O.
• Carlos Alberto Siezar Jr.
• Paola Guadalupe Silva-Serrano

• Neurological Surgery Physician in Colton, CA
• Providers in Colton, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.

Verify at the official NPI Registry.