Sidelle Medical Center

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A91335 Issued in CA

Legal business name

SIDELLE MEDICAL CENTER

Practice address

1330 N Indian Canyon Dr
Suite H
Palm Springs, CA 92262-4880

Phone

(760) 322-8888

NPI assigned

Mar 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Martin Virachai Sattah, M.DNPI 1407067721

Title

President

Phone

(818) 602-2428

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Virachai Sattah, MD

  • Specialist
  • Los Angeles, CA
  • NPI 1407067721
  NPD (past) Authorized official

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1497098388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N INDIAN CANYON DR",
            "address_2": "SUITE H",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624880",
            "telephone_number": "760-322-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N INDIAN CANYON DR",
            "address_2": "SUITE H",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624880",
            "telephone_number": "760-322-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDELLE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "SATTAH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "VIRACHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-602-2428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A91335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley R Sholmire, DO
• Katie Shrader, HAS, BC-HIS
• Siham I Shtayyeh, BA
• Sebastian B Shu-Yip
• Amber Rae Shupe, ASSOCIATES DEGREE
• Sharon Lynne Siegel, PHD/LMFT
• Valerie Silva
• Steven Leslie Silver, M.D.
• Andrew Silvestri
• Kamille Simmons, LVN

• Infectious Disease Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.