Physical Medicine Rehab Clinics-Jaipal Sidhu MD, Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A72117 Issued in CA

Legal business name

PHYSICAL MEDICINE REHAB CLINICS-JAIPAL SIDHU MD, INC

Practice address

7125 N Chestnut Ave
103
Fresno, CA 93720-0358

Phone

(559) 765-4868

Fax

(559) 797-4674

NPI assigned

Aug 28, 2012

Last updated

Apr 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jaipal S Sidhu, MDNPI 1689752305

Title

Owner

Phone

(559) 765-4868

Specialties & licenses 1

Addresses

Other names 1

• Jaipal S Sidhu,MD Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaipal S. Sidhu, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fresno, CA
  • NPI 1689752305

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1821346560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26119",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937296119",
            "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",
            "address_2": "103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200358",
            "telephone_number": "559-765-4868",
            "fax_number": "559-797-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE REHAB CLINICS-JAIPAL SIDHU MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "JAIPAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-765-4868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A72117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaipal S Sidhu,MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.