Rodney Sidransky, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A78625 Issued in CA

Practice address

7841 Balboa Ave
Suite 202
San Diego, CA 92111-2311

Phone

(619) 756-9168

NPI assigned

Jul 12, 2012

Last updated

Jul 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1417212739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 CAMINITO CAPISTRANO UNIT 3",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7841 BALBOA AVE",
            "address_2": "SUITE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112311",
            "telephone_number": "619-756-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDRANSKY",
        "first_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A78625",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A78625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kismet Sidhu
• Shawn Singh Sidhu, M.D.
• Baya Leyla Sidi-Ali-Mebarek, PSY.D.
• Sidney L. Spector, DDS, Prof. Corp,
• Yolanda P. Sidoti, LCSW
• Nadine Elaine Sidrick, M.D.
• Anne Sidwell, MD, DPT
• Dean Allen Sidwell
• Louis William Sieben, M.D.
• William J Sieber, PH.D.

• Emergency Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.