SUKHNANDAN SIDHU M.D. ; M.B.,B.S.
NPI 1306931522
Psychiatry & Neurology - Child & Adolescent Psychiatry in Sonora, CA

Active since October 04, 2006PECOS Enrolled
13975 MONO WAY, SONORA, CA 95370(209) 533-9606 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 27, 2022, Oct 13, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Sukhnandan Sidhu M.d. ; M.b.,b.s. NPPES

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

SUKHNANDAN SIDHU M.D. ; M.B.,B.S. (NPI 1306931522) is an individual child & adolescent psychiatry provider in Sonora, California, licensed in California (A72536) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1306931522
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameSUKHNANDAN SIDHUCredential: M.D. ; M.B.,B.S.
Location Address13975 MONO WAYSonora, CA 95370-2824
Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 988-9001 · Fax (209) 398-8760
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 4, 2006
Last NPPES UpdateJanuary 27, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2022
✔ NPI 1306931522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A72536
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A72536 (CA)
13975 MONO WAY, Sonora, CA 95370

Secondary Practice Locations 2

Location 11510 Florida AveModesto, CA 95350-4437 · Phone (209) 549-7090 · Fax (209) 549-7099
Location 22937 Veneman Ave, Suite A110Modesto, CA 95356 · Phone (209) 204-3829 · Fax (209) 576-8900

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sukhnandan Sidhu M.d. ; M.b.,b.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022272079
PECOS Enrollment IDI20120604000367, I20241126002309
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sukhnandan Sidhu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
905 MORNING STAR DR
Sonora, CA 95370
  • Reassigned Medicare billing, Texas enrollment
  • 41 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
198 N. G STREET
Empire, CA 95319
  • Reassigned Medicare billing, California enrollment
  • 440 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
13975 MONO WAY, SUITE G
SONORA, CA 95370
Dentist (General Practice)
13975 MONO WAY, SUITE A
SONORA, CA 95370
Physician Assistant (Medical)
13975 MONO WAY
SONORA, CA 95370
Nurse Practitioner (Family)
13975 MONO WAY, SUITE G
SONORA, CA 95370
Nurse Practitioner
13975 MONO WAY, SUITE G
SONORA, CA 95370
Dentist (General Practice)
13975 MONO WAY, SUITE A
SONORA, CA 95370

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 Sukhnandan Sidhu's NPI number?

The NPI number for Sukhnandan Sidhu is 1306931522. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Sukhnandan Sidhu located?

Sukhnandan Sidhu practices at 13975 Mono Way, Sonora, CA 95370. The listed phone number is (209) 533-9606.

What is Sukhnandan Sidhu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Sukhnandan Sidhu enrolled in Medicare?

Yes. Sukhnandan Sidhu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sukhnandan Sidhu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sukhnandan Sidhu reassigns Medicare benefits to 2 organizations: M A C T Health Board Incorporated (Sonora, CA) and Golden Valley Health Centers (Empire, CA). Each 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 Sukhnandan Sidhu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sukhnandan Sidhu was last updated on January 27, 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.