Active NPI
Sajjad Bidar
- Physician Assistant
- Stockton, CA
National Provider Identifier
1487297016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 58329
- Practice address
- 582 E Harding Way
Stockton, CA 95204-6110 - Phone
- (925) 325-2028
- NPI assigned
- Oct 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 58329 | CA | Primary |
Addresses
Primary practice location
582 E Harding Way
Stockton, CA 95204-6110
Mailing address
4661 Palomino Way
Antioch, CA 94531-9313
Phone (925) 325-2028
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (925) 779-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58329 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Interoperability endpoints
- sajjad.bidar.8@17371.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1487297016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4661 PALOMINO WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945319313",
"telephone_number": "925-325-2028",
"fax_number": "844-226-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "582 E HARDING WAY",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046110",
"telephone_number": "925-325-2028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDAR",
"first_name": "SAJJAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-27",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.