Sidney Evan Wanetick, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G46693 Issued in CA

Practice address

19845 Lake Chabot Rd
Ste 302
Castro Valley, CA 94546-4055

Phone

(510) 886-3400

Fax

(510) 886-0861

NPI assigned

May 31, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508869868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BUTLER DR",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493358",
            "telephone_number": "925-283-9420",
            "fax_number": "925-283-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19845 LAKE CHABOT RD",
            "address_2": "STE 302",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464055",
            "telephone_number": "510-886-3400",
            "fax_number": "510-886-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANETICK",
        "first_name": "SIDNEY",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G46693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G46693",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nightsnow Vogt
• Ezekiel Volkert, M.D.
• Shannon Wagner
• Walgreen Co
• David John Wallace, MD, MPH
• Fair H. Wang, MD
• O'Brien Wasome
• Hiroshi De Leon Watanabe
• Colette Waters
• Serena Way, MD

• Gynecology Physician in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.