Individual provider Active NPI

Tanuj Sidhartha, MD

  • Psychiatry Physician
  • Vallejo, CA
National Provider Identifier
1568666741
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A102349 Issued in CA
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
BP1-0018066OtherINSTITUTIONAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090114000185 CA Practitioner - Psychiatry 1658434808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Psychiatry PCGroup PAC ID 0244522159, 93 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Cep America - Psychiatry PC Psychiatry CurrentSince Nov 1, 2023 Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Nov 1, 2023 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

  • Direct secure messaging: tsidhartha13257@alamedahs.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.