1. Home
  2. Directory
  3. California
  4. Anaheim
  5. Specialist
  6. NPI Profile

ADVANCED UROLOGY MEDICAL CENTER
NPI 1154441343
Specialist in Anaheim, CA

Active since March 30, 2007
1211 W LA PALMA AVE, 502, ANAHEIM, CA 92801(714) 776-7090(714) 776-5632 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Urology Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED UROLOGY MEDICAL CENTER (NPI 1154441343) is a healthcare organization registered as a specialist in Anaheim, California and active in the NPI registry since March 2007. The organization lists Alfred A Sidhom, Doctor, as its authorized official.

NPPES Registry Identity

NPI1154441343
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALFRED A SIDHOM M D INC
Location Address1211 W LA PALMA AVE, 502Anaheim, CA 92801-2815
Mailing Address1211 W La Palma Ave, 502Anaheim, CA 92801-2815 · (714) 776-7090 · Fax (714) 776-5632
Phone(714) 776-7090
Fax(714) 776-5632
Organization SubpartNo
Authorized OfficialAlfred A SidhomDoctor · (714) 776-7090
Enumeration DateMarch 30, 2007
Last NPPES UpdateFebruary 15, 2022
NPPES CertifiedFebruary 15, 2022
✔ NPI 1154441343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A35526
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1211 W LA PALMA AVE, Anaheim, CA 92801
Open in Google Maps ↗

Other Names 1

Doing Business AsAdvanced Urology Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Urology Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Urology Medical Center, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Alfred Sidhom, M.D.
Urology
NPI 1114923265
1211 W LA PALMA AVE STE 502
Anaheim, CA 92801
(714) 776-7090
✔ PECOS✔ Accepts Medicare0.1 mi
Manmohan Gursahani, MD
Urology
NPI 1720042336
1024 FERNDALE AVE
Fullerton, CA 92831
(559) 241-4513
✔ PECOS✔ Accepts Medicare2.9 mi
Mohammad Faysal, MD
Urology
NPI 1942371984
441 N LAKEVIEW AVE
Anaheim, CA 92807
(888) 988-2800
✔ PECOS✔ Accepts Medicare6.7 mi
Daniel Sidhom, DO
Urology
NPI 1134782402
535 BARNHILL DR STE 340
Indianapolis, IN 46202
(317) 944-7451
✔ PECOS✔ Accepts Medicare1,797 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfred A Sidhom M D Inc's NPI number?

The NPI number for Alfred A Sidhom M D Inc is 1154441343. It was assigned to this organization in the NPPES registry on March 30, 2007. The provider is doing business as Advanced Urology Medical Center.

Where is Alfred A Sidhom M D Inc located?

Alfred A Sidhom M D Inc is located at 1211 W La Palma Ave 502, Anaheim, CA 92801. The listed phone number is (714) 776-7090.

What is Alfred A Sidhom M D Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Alfred A Sidhom M D Inc enrolled in Medicare?

Yes. Alfred A Sidhom M D Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alfred A Sidhom M D Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Urology, reassign their Medicare billing to Alfred A Sidhom M D Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Alfred A Sidhom M D Inc was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.