David A. Sidell

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

508 Alabama St
Vallejo, CA 94590-4446

Phone

(510) 318-6137

Fax

(510) 569-4589

NPI assigned

Dec 24, 2014

Last updated

Sep 21, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1811385982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212H EL CAMINO REAL # 151",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940661303",
            "telephone_number": "818-963-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 ALABAMA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904446",
            "telephone_number": "510-318-6137",
            "fax_number": "510-569-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDELL",
        "first_name": "DAVID",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-24",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee A Shratter, M.D.
• Mary Susan Shrimpton, RNFA
• Jay H Shubrook, DO
• Melanie Wing-San Shum
• Shuttle California Transit, LLC (California Taxicab Co. of Vallejo)
• Tanuj Sidhartha, MD
• Erica Siebern, PHARMD
• Joanna M Siefert
• Ma. Rosel M. Sigua-Chen, NP
• Bianca Jacqueline Silva, DO

• Counselor in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.