Mandeep Kaur Sidhu, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95012451 Issued in CA

Practice address

3554 W Mt Whitney
Riverdale, CA 93656

Phone

(559) 867-4000

Fax

(559) 867-1100

NPI assigned

Aug 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mandeep.sidhu@398008301912068.direct.elationemr.com
• Direct secure messaging: mandeep.sidhu.p1@direct.ariachc.nextgenshare.com

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1548818784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932450580",
            "telephone_number": "559-386-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 W MT WHITNEY",
            "city": "RIVERDALE",
            "state": "CA",
            "postal_code": "93656",
            "telephone_number": "559-867-4000",
            "fax_number": "559-867-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E Merced St",
            "address_purpose": "LOCATION",
            "city": "Fowler",
            "state": "CA",
            "postal_code": "936252313",
            "country_code": "US",
            "telephone_number": "559-834-5341",
            "fax_number": "559-834-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "MANDEEP",
        "middle_name": "KAUR",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95012451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonea Qureshi, M.D.
• Reedley Community Hospital
• Christopher Charles Richardson, D.O.
• Riverdale Joint Unified School District
• Sandra Serna
• Benjamin D Simpson, P.A.
• Tomer Drug Inc
• Valley Family Health Center
• Valley Family Health Center Medical Group, Inc.
• Valley Family Health Center Medical Group, Inc.

• Family Nurse Practitioner in Riverdale, CA
• Providers in Riverdale, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.