Active NPI
Tanuj Sidhartha, MD
- Psychiatry Physician
- Vallejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A102349
- Practice address
- 532 Oregon St Ste 8
Vallejo, CA 94590-3254 - Phone
- (707) 554-1146
- Fax
- (707) 554-4300
- NPI assigned
- Jun 12, 2007
- Last updated
- Dec 21, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A102349 | CA | Primary |
Addresses
Primary practice location
532 Oregon St Ste 8
Vallejo, CA 94590-3254
Mailing address
2081 Arena Blvd
160
Sacramento, CA 95834-2309
Phone (916) 285-8977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP1-0018066 | Other | INSTITUTIONAL PERMIT |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S San Mateo Dr
San Mateo, CA 94401-3805
Phone (650) 696-5400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Mark David Levine, MD, Psychiatry Associates, P.C. | Psychiatry | Past | Accepting new patients |
Locations
1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000
100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140
1325 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3961
Interoperability endpoints
- tsidhartha13257@alamedahs.direct-ci.com
- tsidhartha236735@hisp.ehr.sutterhealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Santa Maria, CA
- NPI 1538757232
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Psychiatry Physician
- Indio, CA
- NPI 1144195926
-
- Psychiatry Physician
- Burlingame, CA
- NPI 1467157685
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1346483682
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Natividad Medical Center
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1568666741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2081 ARENA BLVD",
"address_2": "160",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958342309",
"telephone_number": "916-285-8977",
"fax_number": "916-285-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 OREGON ST STE 8",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945903254",
"telephone_number": "707-554-1146",
"fax_number": "707-554-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHARTHA",
"first_name": "TANUJ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A102349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSTITUTIONAL PERMIT",
"identifier": "BP1-0018066",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.