Active NPI
Gurcharan Singh Sidhu, MD
- Hospitalist Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A38687
- Practice address
- 6700 N First
Suite 111
Fresno, CA 93710 - Phone
- (559) 436-0450
- Fax
- (559) 436-0454
- NPI assigned
- Dec 15, 2006
- Last updated
- Nov 28, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00A38687 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A38687 | CA | |
| Pulmonary Disease Physician | 207RP1001X | 00A38687 | CA | |
| Hospitalist Physician | 208M00000X | A38687 | CA | Primary |
Addresses
Primary practice location
6700 N First
Suite 111
Fresno, CA 93710
Mailing address
6700 N First
Suite 111
Fresno, CA 93710
Phone (559) 463-0450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A386871 | Medicaid | CA | |
| 110004599 | Other | CA | MC RAILROAD |
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
- Internal Medicine
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3069 Tulare St
Fresno, CA 93721-1434
Phone (559) 412-8812
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A38687 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
| 00A38687 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Agnes Medical Center | Current | Accepting new patients | |
| Long Term Care Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| LQMG Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| Saint Agnes Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Trinity Home Health Services | Current | Accepting new patients | |
| Central California Hospital Medicine Group Inc | Internal Medicine | Current | Accepting new patients |
| Cep America - California | Past | Accepting new patients |
Locations
2131 Herndon Ave
Ste 103
Clovis, CA 93611
Phone (559) 483-9911
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
650 W Alluvial Ave
Clovis, CA 93611
Phone (559) 251-8463
1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 791-8410
7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930
925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785
361 E Grangeville Blvd
Hanford, CA 93230
Phone (559) 582-9221
1101 Stroud Ave
Kingsburg, CA 93631
Phone (559) 341-5755
4444 W Meadow Ave
Visalia, CA 93277
Phone (559) 251-8463
4525 W Tulare Ave
Visalia, CA 93277
Phone (559) 299-2591
Interoperability endpoints
- gsidhu2714125@direct.trinity-health.org
- gurcharan.sidhu.1@17371.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Clovis, CA
- NPI 1124886882
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1861023715
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1356479877
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
-
dba Saint Agnes Care
- Internal Medicine Physician
- Fresno, CA
- NPI 1558819482
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1437166360
-
dba Saint Agnes Home Health and Hospice, LLC
- Community Based Hospice Care Agency
- Fresno, CA
- NPI 1750478293
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Fresno, CA
- NPI 1184972713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511827200000",
"number": "1598827396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 N FIRST",
"address_2": "SUITE 111",
"city": "FRESNO",
"state": "CA",
"postal_code": "93710",
"telephone_number": "559-463-0450",
"fax_number": "559-436-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 N FIRST",
"address_2": "SUITE 111",
"city": "FRESNO",
"state": "CA",
"postal_code": "93710",
"telephone_number": "559-436-0450",
"fax_number": "559-436-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHU",
"first_name": "GURCHARAN",
"middle_name": "SINGH",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2017-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "00A38687",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A38687",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "00A38687",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A38687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A386871",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC RAILROAD",
"identifier": "110004599",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.