Active NPI
Amar Siddique, M.D.
- Pediatrics Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A93835
- Practice address
- 2315 Stockton Blvd
Sacramento, CA 95817-2201 - Phone
- (916) 703-3050
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125-047116 | IL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | A93835 | CA | |
| Pediatrics Physician | 208000000X | A93835 | CA | Primary |
Addresses
Primary practice location
2315 Stockton Blvd
Sacramento, CA 95817-2201
Mailing address
4400 Truxel Rd
Apt # 127
Sacramento, CA 95834-3708
Phone (916) 762-8200
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 |
|---|---|---|---|
| 125-047116 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amar Siddique MD Inc | Pediatrics | Current | Accepting new patients |
| Valley Children'S Specialty Medical Group, Inc. | Pediatrics | Past | Accepting new patients |
| Community Foundation Medical Group | Past | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
726 N Medical Center Dr E
Ste 205
Clovis, CA 93611
Phone (559) 859-3536
4910 E Ashlan Ave
Ste 116
Fresno, CA 93726
Phone (559) 228-2990
7235 N 1st St
Ste 103
Fresno, CA 93720
Phone (559) 432-2600
5606 E Kings Canyon Rd
Fresno, CA 93727
1521 N Schnoor Ave
Ste 103
Madera, CA 93637
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Clovis, CA
- NPI 1538574660
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
- Pediatrics Physician
- Madera, CA
- NPI 1013968296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1659359404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 TRUXEL RD",
"address_2": "APT # 127",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958343708",
"telephone_number": "916-762-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "916-703-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUE",
"first_name": "AMAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125-047116",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "A93835",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A93835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.