Individual provider Active NPI

Sara Hamidi, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Turlock, CA
National Provider Identifier
1609045954
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
A111686 Issued in CA
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

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1609045954MedicaidCA

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
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 Home health agency, Turlock, CA, CCN 057571
  • Lifeguard Home Health Home health agency, Pleasanton, CA, CCN 059055
  • Covenant Care Hospice Hospice, Turlock, CA, CCN 051614
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179
  • Memorial Medical Center Hospital, Modesto, CA, CCN 050557
  • Covenant Village Care Center Nursing home, Turlock, CA, CCN 555749

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A111686CAMDGeriatric Medicine (Family Medicine) Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Sara Hamidi MD Inc. Geriatric Medicine CurrentSince Oct 28, 2016 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.