Active NPI
Kathrin Rachel Sidell, M.D.
- Pediatrics Physician
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A88239
- Practice address
- 2025 Soquel Ave
Santa Cruz, CA 95062-1323 - Phone
- (831) 458-5555
- Fax
- (831) 458-5845
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A88239 | CA | Primary |
Addresses
Primary practice location
2025 Soquel Ave
Santa Cruz, CA 95062-1323
Mailing address
2025 Soquel Ave
Santa Cruz, CA 95062-1323
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2025 Soquel Ave
Santa Cruez, CA 95062-1323
Phone (831) 423-4111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88239 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| A88239 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Health for All, Inc. | Past | Accepting new patients | |
| Health for All, Inc. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients |
Locations
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174
2025 Soquel Ave
Santa Cruz, CA 95062
Phone (408) 423-4111
4663 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 458-6330
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- ksidell54369@hisp.ehr.sutterhealth.org
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- General Acute Care Hospital
- Santa Cruz, CA
- NPI 1427181007
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1700896404
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1891705596
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Santa Cruz, CA
- NPI 1689035628
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1801977897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 SOQUEL AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950621323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 SOQUEL AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950621323",
"telephone_number": "831-458-5555",
"fax_number": "831-458-5845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDELL",
"first_name": "KATHRIN",
"middle_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A88239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.