SIDE XI MD
NPI 1679643688
Pediatrics in Visalia, CA

Q: What is Side Xi's NPI number?

The NPI number for Side Xi is 1679643688. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Side Xi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Side Xi was last updated on July 9, 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.

Active since November 08, 2006PECOS Enrolled

2611 N DINUBA BLVD, VISALIA, CA 93291(559) 733-6342 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Side Xi Md NPPES

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

SIDE XI MD (NPI 1679643688) is an individual pediatrics provider in Visalia, California, licensed in California (A85791) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679643688

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameSIDE XICredential: MD

Location Address2611 N DINUBA BLVDVisalia, CA 93291-9003

Mailing Address5957 S Mooney BlvdVisalia, CA 93277-9394 · (559) 737-4669 · Fax (559) 737-4697

Phone(559) 733-6342

Sole ProprietorNo

Enumeration DateNovember 8, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1679643688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A85791

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2611 N DINUBA BLVD, Visalia, CA 93291

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Other Identifiers 3

Medicare UPINI05737

Medicare ID-Type Unspecified00A857910CA

Medicaid00A857910CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Side Xi 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.

Medicare Billing Reassignment

Medicare enrollment records show Side Xi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Tulare

Same address

Federally Qualified Health Center (FQHC)

2611 N DINUBA BLVD
Visalia, CA 93291

Reassigned Medicare billing, California enrollment
81 clinicians in this Medicare group

NPI 1457385163 (559) 623-0700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ANA DELVILLAR L.C.S.W.

Social Worker (Clinical)