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DR. PRABDIT SINGH SIDHU MD
NPI 1407505308
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 20, 2022PECOS Enrolled
2315 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-5028 Get Directions Write a Review

NPPES record last updated: March 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Prabdit Singh Sidhu Md NPPES

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

DR. PRABDIT SINGH SIDHU MD (NPI 1407505308) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407505308
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PRABDIT SINGH SIDHUCredential: MD
Location Address2315 STOCKTON BLVDSacramento, CA 95817-2201
Mailing Address4150 V St Ste 1200Sacramento, CA 95817-1460 · (916) 734-5028
Phone(916) 734-5028
Sole ProprietorYes
Enumeration DateMarch 20, 2022
NPPES CertifiedMarch 20, 2022
✔ NPI 1407505308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2315 STOCKTON BLVD, Sacramento, CA 95817
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prabdit Singh Sidhu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

KATHLEEN STUCKER
Social Worker (Clinical)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5628
MARIA ISABEL AGUILAR
Registered Nurse
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8730
NATHAN JACOB VANDEN BERGE
Emergency Medicine
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8570
PETER SANTIAGO C.O., C.PED., FAAOP
Specialist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7045
SHIELA LEIGH SAMSON ANGULO DO
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5974
MS. KATHLEEN DOLORES VAN LEEUWEN MD
Surgery (Pediatric Surgery)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3229
STEPHEN MULFORD
Physical Therapy Assistant
2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248
MR. MARK YAMADA
Occupational Therapist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248

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 Prabdit Sidhu's NPI number?

The NPI number for Prabdit Sidhu is 1407505308. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Where is Prabdit Sidhu located?

Prabdit Sidhu practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-5028.

What is Prabdit Sidhu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Prabdit Sidhu enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Prabdit Sidhu was last updated on March 20, 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.