Active NPI
Sara Hamidi, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Turlock, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- A111686
- Practice address
- 1060 Delbon Ave
Turlock, CA 95382-2014 - Phone
- (209) 813-8913
- Fax
- (209) 251-0611
- NPI assigned
- Feb 20, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | A111686 | CA | Primary |
Addresses
Primary practice location
1060 Delbon Ave
Turlock, CA 95382-2014
Mailing address
PO Box 4978
Modesto, CA 95352-4978
Phone (209) 575-4575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609045954 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110715000369 | CA | Practitioner - Family Practice | 0648359828 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1801 N Olive Ave
Turlock, CA 95382-2568
Phone (209) 664-2980
Hospital & facility affiliations
- Covenant Care at Home
- Lifeguard Home Health
- Covenant Care Hospice
- Emanuel Medical Center
- Memorial Medical Center
- Covenant Village Care Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A111686 | CA | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sara Hamidi MD Inc. | Geriatric Medicine | Current | Accepting new patients |
| Emanuel Medical Center, Inc. | Past | Accepting new patients | |
| Emanuel Medical Group, Inc. | Past | Accepting new patients |
Locations
1060 Delbon Ave
Turlock, CA 95382
Phone (209) 277-7419
1801 N Olive Ave
Turlock, CA 95382
Phone (209) 410-7200
3650 Geer Rd
Turlock, CA 95382
Phone (209) 667-0543
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Turlock, CA
- NPI 1215362207
CA, Geriatric Medicine
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1174615330
-
- Family Medicine Physician
- Turlock, CA
- NPI 1275764615
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Turlock, CA
- NPI 1538251525
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1396087672
Hospital
-
- Home Health Agency
- Pleasanton, CA
- NPI 1225280951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1609045954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4978",
"city": "MODESTO",
"state": "CA",
"postal_code": "953524978",
"telephone_number": "209-575-4575",
"fax_number": "209-575-4598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 DELBON AVE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953822014",
"telephone_number": "209-813-8913",
"fax_number": "209-251-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMIDI",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "A111686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609045954",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.