Siddiqa Nawaz, M.D.
Individual provider Active NPI Internal Medicine Physician · Hemet, CA
NPI 1750622650 · NPPES record last updated Feb 27, 2020
Key facts
- NPI
- 1750622650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A162872 (CA)
- Practice address
- 540 N San Jacinto St Ste P
Hemet, CA 92543-3154 - Phone
- (951) 929-4000
- Fax
- (951) 929-4100
- NPI assigned
- Mar 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Riverside
Practice addresses (Care Compare)
26600 Cactus Ave
Moreno Valley, CA 92555-3901
308 E San Jacinto Ave
Perris, CA 92570-2878
Phone (951) 940-6700
880 N State St
Hemet, CA 92543-1459
Phone (951) 766-2450
Hospital & facility affiliations
- Riverside University Health System-Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200903003701 | CA | Practitioner - Internal Medicine | 4880980812 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Current |
Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current |
Accepting new patients |
Locations
880 N State St
Hemet, CA 92543
Phone (951) 766-2450
308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700
Interoperability endpoints
- snawaz337700@direct.llu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 284852 | NY | |
| Internal Medicine Physician | 207R00000X | A162872 | CA | Yes |
Addresses
Primary practice location
540 N San Jacinto St Ste P
Hemet, CA 92543-3154
Mailing address
540 N San Jacinto St
Ste P
Hemet, CA 92543-3154
Phone (951) 816-5105
Other providers in Hemet, CA
- National Vision, Inc.
- Bailey Navarro
- Luis Navarro
- Melissa Navarro
- Yahaira Navarro
- Success Ngwasiri Nchotu
- Neighborhood Healthcare
- Neighborhood Healthcare
- Paul Edward Neitzert
- Marcella Nelson
All providers in Hemet, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.