Active NPI
Magdi a. Sidhom, MD Inc
- Anesthesiology Physician
- Fountain Valley, CA
National Provider Identifier
1992049480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A47949
- Legal business name
- MAGDI A. SIDHOM, MD INC
- Practice address
- 18111 Brookhurst St
3200
Fountain Valley, CA 92708-6728 - Phone
- (714) 369-1100
- NPI assigned
- Nov 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Magdi A Sidhom, M.D.
- Title
- President
- Phone
- (800) 883-7243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A47949 | CA | Primary |
Addresses
Primary practice location
18111 Brookhurst St
3200
Fountain Valley, CA 92708-6728
Mailing address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415145600000",
"number": "1992049480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053807",
"telephone_number": "800-883-7243",
"fax_number": "714-647-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18111 BROOKHURST ST",
"address_2": "3200",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086728",
"telephone_number": "714-369-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGDI A. SIDHOM, MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-21",
"last_updated": "2014-11-05",
"status": "A",
"authorized_official_last_name": "SIDHOM",
"authorized_official_first_name": "MAGDI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-883-7243",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A47949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.