Active NPI
Aminaa Siddiqi
- Allergy & Immunology (Internal Medicine) Physician
- Davis, CA
National Provider Identifier
1619363314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- A153858
- Practice address
- 2440 W Covell Blvd Ste 104
Davis, CA 95616-5671 - Phone
- (530) 747-3000
- NPI assigned
- Apr 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 036.153084 | IL | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | A153858 | CA | Primary |
Addresses
Primary practice location
2440 W Covell Blvd Ste 104
Davis, CA 95616-5671
Mailing address
2South310 Route 59
Warrenville, IL 60555-1280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A153858 | CA | MD | Allergy & Immunology (Internal Medicine) Physician |
| 036.153084 | IL | MD | Allergy & Immunology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Essent PRMC LP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Sacramento, CA
- NPI 1427041698
-
dba Paris Regional Medical Center
- Certified Registered Nurse Anesthetist
- Paris, TX
- NPI 1376541839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1619363314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2SOUTH310 ROUTE 59",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605551280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 W COVELL BLVD STE 104",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165671",
"telephone_number": "530-747-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQI",
"first_name": "AMINAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2023-03-07",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "IL",
"license": "036.153084",
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "CA",
"license": "A153858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.