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DR. JERRY SIDERMAN DDS
NPI 1386716975
Dentist - General Practice in Huntington Park, CA

Active since November 15, 2006
6601 RUGBY AVE STE 400, HUNTINGTON PARK, CA 90255(323) 585-1515(323) 585-2199 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jerry Siderman Dds NPPES

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

DR. JERRY SIDERMAN DDS (NPI 1386716975) is an individual general practice provider in Huntington Park, California, licensed in California (41789) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1386716975
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JERRY SIDERMANCredential: DDS
Location Address6601 RUGBY AVE STE 400Huntington Park, CA 90255-4046
Mailing Address6601 Rugby Ave Ste 400Huntington Park, CA 90255-4046 · (323) 585-1515 · Fax (323) 585-2199
Phone(323) 585-1515
Fax(323) 585-2199
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386716975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 41789
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6601 RUGBY AVE STE 400, Huntington Park, CA 90255
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Other Identifiers 1

OtherG91803CA · Denti-cal Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

VIACHESLAV S ZOUBTSOV D.D.S.
Dentist
6601 RUGBY AVE STE 400
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 585-1515
DR. VLADIMIR YAMPOLSKY D.D.S.
Dentist (General Practice)
6601 RUGBY AVE STE 400
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 585-1515

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 Jerry Siderman's NPI number?

The NPI number for Jerry Siderman is 1386716975. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Jerry Siderman located?

Jerry Siderman practices at 6601 Rugby Ave Ste 400, Huntington Park, CA 90255. The listed phone number is (323) 585-1515.

What is Jerry Siderman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jerry Siderman accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Jerry Siderman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Siderman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.