Guravtar S Sidhu, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27365 Issued in CA

Practice address

410 S Melrose Dr Ste 107
Vista, CA 92081

Phone

(760) 295-9000

Fax

(858) 901-1346

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sidhu Triune of Life Chiropractic Apc

  • Chiropractor
  • Vista, CA
  • NPI 1770243560
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1861564023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920077176",
            "telephone_number": "858-509-7999",
            "fax_number": "858-901-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S MELROSE DR STE 107",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92081",
            "telephone_number": "760-295-9000",
            "fax_number": "858-901-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "GURAVTAR",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GC817A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah F Shriver, LMFT
• Ronald Wayne Shumaker, D.D.S.
• Wendy Shumate, M.D.
• Carlos Enrique Sibaja, DDS
• Sidhu Triune of Life Chiropractic Apc
• Vanessa Marie Sigala
• Cristiane Jardim Silva, DDS
• Norma A Silva
• Saul Enmanuel Silva
• Summer Leigh Silva, PSYD

• Chiropractor in Vista, CA
• Providers in Vista, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.