HARJOT SIDHU (NPI# 1902885924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902885924 |
| Entity Type | Individual |
| Full Name | HARJOT SIDHU |
| Credential | MD |
| Practice Address |
1901 N. California St. Dignity Health Care / Sjmg Stockton CA 95204 |
| Practice Telephone | 2099466800 |
| Practice Fax Number | 2099466805 |
| Mailing Telephone | 2099466800 |
| Mailing Fax Number | 2099466805 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2012-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 47457 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
C54946 | CA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
47457 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MEDICAID | 2450023 | 01 |
| MN | BCBS | 944S8SI | 01 |
| MN | HEALTH PARTNERS | HP49006 | 01 |
| CHAMPUS | 41084933956001C005 | 01 | |
| MN | AMERICAS PPO | 2316540 | 01 |
| MN | PREFFERED ONE | NA2951042895 | 01 |
| MN | 040933200 | 05 | |
| MN | MEDICA | 2900368 | 01 |
| MN | UCARE | 132592 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457755308 | Harjot Sidhu | Pharmacist | 14396 E Temple Pl Unit D, Aurora, CO 80015-3919 | 2014-10-20 |
| Street Address |
1901 N. CALIFORNIA ST. DIGNITY HEALTH CARE / SJMG |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1154631554 | Sohan S Mahil M.d. Inc. | Internal Medicine | 2626 N California St Ste M, Stockton, CA 95204-5500 | 2010-10-19 |
| 1548335185 | Iftikhar A Malik | Internal Medicine | 2800 N California St Ste 7, Stockton, CA 95204-3758 | 2006-11-21 |
| 1568573640 | George E. Rishwain, M.d., Inc | Internal Medicine | 1805 N California St Ste 309, Stockton, CA 95204-6032 | 2006-08-31 |
| 1831163096 | Robert L Protell | Internal Medicine | 415 E Harding Wy, # G, Stockton, CA 95204 | 2006-02-15 |
| 1598738122 | George E Rishwain | Internal Medicine | 782 E Harding Way, Stockton, CA 95204-6101 | 2006-02-13 |
| 1194147645 | Sandar Linn | Internal Medicine | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2014-01-16 |
| 1427115211 | Sohan S Mahil | Internal Medicine | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2007-01-02 |
| 1790863694 | David R. Cornish | Internal Medicine | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
| 1164527883 | Lakshma R Tiyyagura | Internal Medicine | 420 W Acacia St, # 18, Stockton, CA 95203-2441 | 2006-09-14 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.