Individual provider Active NPI

Rustambir Singh, MD

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1891310546
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A186760 Issued in CA
Practice address
3810 Rosin CT Ste 100
Sacramento, CA 95834-1657
Phone
(916) 779-7656
NPI assigned
Jun 9, 2020
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125076546 IL
Family Medicine Physician 207Q00000X A186760 CA Primary

Addresses

Primary practice location

3810 Rosin CT Ste 100
Sacramento, CA 95834-1657

Mailing address

3810 Rosin CT Ste 100
Sacramento, CA 95834-1657
Phone (916) 779-7656

Other practice location 1

300 W Oak St
Carbondale, IL 62901-1400
Phone (618) 536-6621

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
I20230719001908 CA Practitioner - Family Practice 2062836018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peach Tree HealthcareGroup PAC ID 7416978440, 32 clinicians

Practice addresses (Care Compare)

3810 Rosin CT
Suite 100
Sacramento, CA 95834-1657
Phone 53074932421124

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A186760CAMDFamily Medicine Physician
125076546ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Tree Healthcare Current Accepting new patients
Peach Tree Healthcare CurrentSince Jul 1, 2023 Accepting new patients
Peach Tree Healthcare CurrentSince Jul 1, 2023 Accepting new patients

Locations

9980 Live Oak Blvd
Live Oak, CA 95953
Phone (503) 749-3242

1114 Yuba St
Ste 220
Marysville, CA 95901
Phone (240) 816-4358

5730 Packard Ave
Ste 500
Marysville, CA 95901
Phone (530) 413-9627

3810 Rosin Ct
Ste 100
Sacramento, CA 95834
Phone (530) 741-6245

1275 Tharp Rd
Yuba City, CA 95993

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rustambir.singh.p1@direct.peachtreehealth.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1891310546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 ROSIN CT STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341657",
            "telephone_number": "916-779-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 ROSIN CT STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341657",
            "telephone_number": "916-779-7656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011400",
            "country_code": "US",
            "telephone_number": "618-536-6621",
            "fax_number": "618-453-1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "RUSTAMBIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125076546",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A186760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.