Individual provider Active NPI

Jaswinder K Sidhu, FNP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1689430662
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027035 Issued in CA
Practice address
1510 E Herndon Ave Ste 210
Fresno, CA 93720-3333
Phone
(559) 450-2274
Fax
(559) 450-7221
NPI assigned
Feb 26, 2024
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95027035 CA Primary

Addresses

Primary practice location

1510 E Herndon Ave Ste 210
Fresno, CA 93720-3333

Mailing address

6858 W Fir Ave
Fresno, CA 93722-7849
Phone (559) 320-5324

Other practice location 1

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250124001696 CA Practitioner - Nurse Practitioner 0143759829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians
California Dreams Medical Corporation PCGroup PAC ID 7113353160, 21 clinicians

Practice addresses (Care Compare)

1510 E Herndon Ave
Suite 210
Fresno, CA 93720-3333
Phone (559) 450-7200

3656 W Shaw Ave
Fresno, CA 93711-3231
Phone (559) 823-5252

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LQMG Medical Group Inc. Current Accepting new patients
California Dreams Medical Corporation PC CurrentSince Feb 9, 2026 Accepting new patients
Saint Agnes Medical Foundation CurrentSince Dec 21, 2024 Accepting new patients
Universal Healthcare Ipa, Inc. Past Accepting new patients

Locations

1111 E Spruce Ave
Ste 431
Fresno, CA 93720
Phone (559) 450-5611

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1510 E Herndon Ave
Ste 210
Fresno, CA 93720
Phone (559) 450-7200

3656 W Shaw Ave
Fresno, CA 93711
Phone (559) 388-8430

Interoperability endpoints

  • Direct secure messaging: jsidhu2712367@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1689430662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6858 W FIR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937227849",
            "telephone_number": "559-320-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E HERNDON AVE STE 210",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203333",
            "telephone_number": "559-450-2274",
            "fax_number": "559-450-7221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 E Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203309",
            "country_code": "US",
            "telephone_number": "559-450-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "JASWINDER",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.