Individual provider Active NPI

David Claude Sidney, MD

  • Infectious Disease Physician
  • Santa Rosa, CA
National Provider Identifier
1841358975
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A84341 Issued in CA
Practice address
122 Calistoga Road #396
Santa Rosa, CA 95409-3702
Phone
(707) 525-8296
Fax
(707) 942-1598
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A84341 CA Primary

Addresses

Primary practice location

122 Calistoga Road #396
Santa Rosa, CA 95409-3702

Mailing address

122 Calistoga Road #396
Santa Rosa, CA 95409-3702
Phone (707) 525-8296

Other identifiers 1

IdentifierTypeStateIssuer
00A843410MedicaidCA

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
I20040224000500 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 7315831989 Reassigns benefits to 1 organization
Practice locations: Santa Rosa, CA

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of California, San Francisco School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3325 Chanate Rd
Santa Rosa, CA 95404-1707
Phone (707) 576-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84341CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aretaeus Telemedicine Inc. CurrentSince Sep 9, 2014 Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients

Locations

1 Madrone St
Willits, CA 95490
Phone (707) 456-3041

Interoperability endpoints

  • Direct secure messaging: dsidney209045@hisp.ehr.sutterhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1841358975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CALISTOGA ROAD #396",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954093702",
            "telephone_number": "707-525-8296",
            "fax_number": "707-942-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CALISTOGA ROAD #396",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954093702",
            "telephone_number": "707-525-8296",
            "fax_number": "707-942-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDNEY",
        "first_name": "DAVID",
        "middle_name": "CLAUDE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A84341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A843410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.