Individual provider Active NPI

Pramodh S Sidhu, MD

  • Cardiovascular Disease Physician
  • Pleasanton, CA
National Provider Identifier
1609804970
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G56945 Issued in CA
Practice address
5860 Owens Dr Ste 220
Pleasanton, CA 94588-3980
Phone
(925) 734-0336
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G56945 CA Primary

Addresses

Primary practice location

5860 Owens Dr Ste 220
Pleasanton, CA 94588-3980

Mailing address

1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828

Other practice location 1

2305 Camino Ramon Ste 120
San Ramon, CA 94583-1394
Phone (925) 734-0336

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
I20070129000755 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 0143243659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

5860 Owens Dr
Pleasanton, CA 94588-3900
Phone (925) 296-9600

Hospital & facility affiliations

  • San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G56945CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network CurrentSince Dec 31, 2022 Accepting new patients
The Hospital Committee for the Livermore-Pleasanton Areas Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
John Muir Health Past Accepting new patients
John Muir Health Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Stanford Health Care Internal Medicine Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

3100 San Pablo Ave
Ste 430
Berkeley, CA 94702
Phone (415) 476-3360

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

2400 Balfour Rd
Ste 201
Brentwood, CA 94513
Phone (925) 308-8112

2485 High School Ave
Ste 100
Concord, CA 94520
Phone (925) 671-0610

2700 Grant St
Ste 309
Concord, CA 94520
Phone (925) 674-2650

87 Fenton St
Ste 210
Livermore, CA 94550
Phone (510) 537-3556

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

400 Taylor Blvd
Ste 101
Pleasant Hill, CA 94523
Phone (925) 465-8400

5860 Owens Dr
Ste 220
Pleasanton, CA 94588
Phone (925) 224-0720

5860 Owens Dr
Ste 230
Pleasanton, CA 94588
Phone (925) 734-0336

5860 Owens Dr
Pleasanton, CA 94588
Phone (252) 240-0770

12677 Alcosta Blvd
Ste 210
San Ramon, CA 94583
Phone (925) 365-1019

2305 Camino Ramon
Ste 120
San Ramon, CA 94583
Phone (925) 275-3888

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828

1450 Treat Blvd
Ste 220B
Walnut Creek, CA 94597
Phone (925) 937-1770

Interoperability endpoints

  • Direct secure messaging: psidhu14170@ehr.johnmuirhealth.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1609804970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 OWENS DR STE 220",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883980",
            "telephone_number": "925-734-0336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Camino Ramon Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945831394",
            "country_code": "US",
            "telephone_number": "925-734-0336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "PRAMODH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G56945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.