Individual provider Active NPI

Jaipal S. Sidhu, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fresno, CA
National Provider Identifier
1689752305
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A72117 Issued in CA
Practice address
7125 N Chestnut Ave Ste 103
Fresno, CA 93720-0358
Phone
(559) 765-4868
Fax
(559) 797-4674
NPI assigned
Nov 1, 2006
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A72117 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A72117 CA Primary

Addresses

Primary practice location

7125 N Chestnut Ave Ste 103
Fresno, CA 93720-0358

Mailing address

7125 N Chestnut Ave
Fresno, CA 93720-0358
Phone (559) 765-4868

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
I20110524000642 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 1850577040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Pain Management
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7125 N Chestnut Ave
Suite 103
Fresno, CA 93720-0358
Phone (559) 465-4868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A72117CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose U. Zamora, II, M.D., a Medical Corporation Single Specialty CurrentSince Dec 23, 2018 Accepting new patients
Physical Medicine Rehab Clinics-Jaipal Sidhu MD, Inc Single Specialty CurrentSince Oct 14, 2014 Accepting new patients

Locations

7125 N Chestnut Ave
Ste 103
Fresno, CA 93720
Phone (559) 765-4868

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1689752305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 N CHESTNUT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200358",
            "telephone_number": "559-765-4868",
            "fax_number": "559-797-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 N CHESTNUT AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200358",
            "telephone_number": "559-765-4868",
            "fax_number": "559-797-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "JAIPAL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A72117",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A72117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.