Individual provider Active NPI

Yasmin Siddiqi I, MD

  • Family Medicine Physician
  • Johnstown, PA
National Provider Identifier
1639296387
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A110338 Issued in CA
Practice address
1086 Franklin St
Johnstown, PA 15905-4305
Phone
(814) 534-9364
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT189714 PA
Family Medicine Physician 207Q00000X A110338 CA Primary

Addresses

Primary practice location

1086 Franklin St
Johnstown, PA 15905-4305

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9364

Other names 1

  • Yasmin Siddiqui Other name

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
I20100201000394 CA Practitioner - Internal MedicinePractitioner - Hospitalist 4486797305 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lompoc Hospitalist Group PCGroup PAC ID 8426470832, 9 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1515 E Ocean Ave
Lompoc, CA 93436-7092
Phone (805) 737-3300

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121

Hospital & facility affiliations

  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Providence Redwood Memorial Hospital Hospital, Fortuna, CA, CCN 051318
  • Lompoc Valley Medical Center Hospital, Lompoc, CA, CCN 050110
  • Providence Redwood Memorial Hospital Nursing home, CCN 05Z318

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110338CAMDFamily Medicine Physician
MT189714PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lompoc Hospitalist Group PC CurrentSince Feb 1, 2026 Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Dec 1, 2016 Accepting new patients
County of Santa Clara CurrentSince Oct 1, 2019 Accepting new patients
Sutter Valley Medical Foundation Family Medicine Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Sep 1, 2013 Accepting new patients
County of Santa Clara Current Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Aug 1, 2012 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Wahidullah Medical Corporation CurrentSince Apr 28, 2014 Accepting new patients
Scripps Health Current Accepting new patients
County of Santa Clara Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Sep 1, 2013 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Emergency and Acute Care Medical Corporation PastSince Jan 14, 2024 Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

435 H St
Ste 31
Chula Vista, CA 91910

2440 23rd St
Eureka, CA 95501
Phone (707) 298-2011

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

2379 23rd St
Eureka, CA 95501
Phone (707) 443-9371

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1639296387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "YASMIN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT189714",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A110338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YASMIN",
            "last_name": "SIDDIQUI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.