Kulraj Singh Sidhu, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A104645 Issued in CA

Practice address

311 E Merced St
Fowler, CA 93625

Phone

(559) 892-9452

NPI assigned

Oct 21, 2008

Last updated

Dec 29, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kulraj.sidhu.p1@direct.omnifamilyhealth.nextgenshare.com

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.

• Prodigy Healthcare Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Selma, CA
  • NPI 1487164877
  NPD (past)
• Prodigy Healthcare Inc.

  • Community/Behavioral Health Agency
  • Kingsburg, CA
  • NPI 1609321728
  NPD (past)
• Prodigy Healthcare Inc.

  • Community/Behavioral Health Agency
  • Kingsburg, CA
  • NPI 1972955227
  NPD (past)
• Prodigy Healthcare Non Profit

  • Adolescent and Children Mental Health Clinic/Center
  • Fowler, CA
  • NPI 1265158661
  NPD (past)
• Prodigy Healthcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Caruthers, CA
  • NPI 1144617176
  NPD (past)
• Prodigy Healthcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Caruthers, CA
  • NPI 1154718401
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1992957088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936250820",
            "telephone_number": "559-892-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MERCED ST",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "93625",
            "telephone_number": "559-892-9452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 E Main St",
            "address_purpose": "LOCATION",
            "city": "Fowler",
            "state": "CA",
            "postal_code": "936252499",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3125 Wright St",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "CA",
            "postal_code": "936622499",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2580 W Tahoe Ave",
            "address_purpose": "LOCATION",
            "city": "Caruthers",
            "state": "CA",
            "postal_code": "936099475",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2311 Sierra St",
            "address_purpose": "LOCATION",
            "city": "Kingsburg",
            "state": "CA",
            "postal_code": "936311457",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Kingsburg",
            "state": "CA",
            "postal_code": "936311699",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 E Adams Ave",
            "address_purpose": "LOCATION",
            "city": "Fowler",
            "state": "CA",
            "postal_code": "936252702",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13620 A. Kincaid",
            "address_purpose": "LOCATION",
            "city": "Caruthers",
            "state": "CA",
            "postal_code": "93609",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Tiller Ave",
            "address_purpose": "LOCATION",
            "city": "Caruthers",
            "state": "CA",
            "postal_code": "93609",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Walter Ave",
            "address_purpose": "LOCATION",
            "city": "Fowler",
            "state": "CA",
            "postal_code": "936259792",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1776 Ygnacio Valley Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945983125",
            "country_code": "US",
            "telephone_number": "925-278-1792",
            "fax_number": "925-949-8235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "KULRAJ",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A104645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Sherman
• Donald E Sherman Jr.
• Michael Sherman Jr.
• Alexander Carlton Sherriffs Jr., M.D.
• Jaspreet Kaur Shoker, COTA/L
• Nicole Anne Sihota, RN
• Terinder Sihota
• Kaylen Annmarie Sivertson
• William Cale Spitzer
• Stephen J Farris OD, a Professional Optometric Corporation

• Internal Medicine Physician in Fowler, CA
• Providers in Fowler, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.