NPIMap

Individual provider Active NPI

Baljit S Sivia, M.D.

  • Internal Medicine Physician
  • Folsom, CA
National Provider Identifier
1518288398
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
126093 Issued in CA
Practice address
1650 Creekside Dr
Folsom, CA 95630-3400
Phone
(916) 986-2345
Fax
(916) 986-2345
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A126093 CA
Internal Medicine Physician 207R00000X 126093 CA Primary

Addresses

Primary practice location

1650 Creekside Dr
Folsom, CA 95630-3400

Mailing address

3400 Data Dr
Physician Support Services
Rancho Cordova, CA 95670-7956
Phone (916) 379-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000835 CA Practitioner - Internal Medicine 2466694989 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

2800 L St
Sacramento, CA 95816-5616

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
126093CAMDInternal Medicine Physician
A126093CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Apr 3, 2017 Accepting new patients
Hospitalists of Modesto Medical Group Inc Internal Medicine CurrentSince Nov 20, 2019 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Apr 3, 2017 Accepting new patients
Placer Private Physicians Inc CurrentSince May 1, 2023 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

6960 Destiny Dr
Ste 100
Rocklin, CA 95677
Phone (916) 624-1777

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Interoperability endpoints

  • Direct secure messaging: baljit.sivia.1@29786.direct.athenahealth.com
  • Direct secure messaging: bsivia236987@hisp.ehr.sutterhealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1518288398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "PHYSICIAN SUPPORT SERVICES",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956",
            "telephone_number": "916-379-2400",
            "fax_number": "916-858-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CREEKSIDE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303400",
            "telephone_number": "916-986-2345",
            "fax_number": "916-986-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVIA",
        "first_name": "BALJIT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2023-02-01",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A126093",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "126093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.