Active NPI
Nayyar Siddique, MD
- Hematology & Oncology Physician
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A62744
- Practice address
- 3617 Vista Way
Oceanside, CA 92056-4522 - Phone
- (760) 758-5770
- Fax
- (760) 721-8597
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | LT20873 | ND | |
| Hematology & Oncology Physician | 207RH0003X | A62744 | CA | Primary |
Addresses
Primary practice location
3617 Vista Way
Oceanside, CA 92056-4522
Mailing address
3617 Vista Way
Oceanside, CA 92056-4522
Phone (760) 758-5770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A627440 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MN, MT, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dignity Health
Practice addresses (Care Compare)
2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 225-7779
265 Cohasset Rd
Chico, CA 95926-2273
Phone (530) 332-3808
40 13TH St W
Havre, MT 59501-5218
Phone (406) 262-6000
Hospital & facility affiliations
- Enloe Health
- Northern Montana Hospital
- Mercy Medical Center Redding
- Benefis Hospitals Inc
- Essentia Health St Joseph'S Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT20873 | ND | MD | Medical Oncology Physician |
| 1033 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carris Health LLC | Hematology & Oncology | Current | Accepting new patients |
| Innovis Health LLC | Current | Accepting new patients | |
| St Joseph'S Medical Center | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| Innovis Health, LLC | Current | Accepting new patients | |
| Innovis Health LLC | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| Enloe Specialty Physicians, Inc | Medical Oncology | Current | Accepting new patients |
| Carris Health LLC | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| St. Joseph'S Medical Center | Current | Accepting new patients | |
| St. Joseph'S Medical Center | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients |
Locations
265 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3808
2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880
523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120
30 13th St
Havre, MT 59501
Phone (406) 262-1302
40 13th St W
Havre, MT 59501
Phone (406) 262-6000
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222
Interoperability endpoints
- nayyar.siddique@nconcology.directbygreenway.com
- nsiddique27538@scrippshlth.medalliesdirect.net
Organizations & group practices 14
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.
-
- Radiation Oncology Physician
- Chico, CA
- NPI 1306105721
Medical Oncology
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1215125463
-
- Hematology & Oncology Physician
- Oceanside, CA
- NPI 1457486433
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1427684612
-
- Multi-Specialty Clinic/Center
- Fargo, ND
- NPI 1144776576
-
- Family Medicine Physician
- Fargo, ND
- NPI 1255677084
-
- Critical Access Hospital
- Havre, MT
- NPI 1578536355
-
- Clinic/Center
- Havre, MT
- NPI 1669447967
-
- Multi-Specialty Clinic/Center
- Staples, MN
- NPI 1538916101
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
-
- General Acute Care Hospital
- Brainerd, MN
- NPI 1568415974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1497890610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 VISTA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564522",
"telephone_number": "760-758-5770",
"fax_number": "760-721-8597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 VISTA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564522",
"telephone_number": "760-758-5770",
"fax_number": "760-721-8597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUE",
"first_name": "NAYYAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "ND",
"license": "LT20873",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A62744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A627440",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.