SIDTIA SIDTIKUN NP
NPI 1942182696
Nurse Practitioner in Modesto, CA
About Sidtia Sidtikun Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIDTIA SIDTIKUN NP (NPI 1942182696) is an individual nurse practitioner in Modesto, California, licensed in California (95036329) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sidtia Sidtikun Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sidtia Sidtikun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Modesto, CA 95354
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Golden Valley Health Centers
- 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Sidtia Sidtikun's NPI number?
The NPI number for Sidtia Sidtikun is 1942182696. It was assigned to this individual provider in the NPPES registry on July 23, 2025.
Where is Sidtia Sidtikun located?
Sidtia Sidtikun practices at 1114 6th St, Modesto, CA 95354. The listed phone number is (209) 262-7373.
What is Sidtia Sidtikun's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Sidtia Sidtikun enrolled in Medicare?
Yes. Sidtia Sidtikun is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sidtia Sidtikun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sidtia Sidtikun reassigns Medicare benefits to Golden Valley Health Center (Modesto, CA). The 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 Sidtia Sidtikun'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 Sidtia Sidtikun was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Sidtia Sidtikun, NP · NPI 1942182696
Nurse Practitioner physician in Modesto, California. Individual provider, active in the CMS NPPES registry since July 23, 2025.
## Identity
- **NPI:** 1942182696 (Entity type: Individual)
- **Enumerated:** July 23, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95036329 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1114 6TH ST, Modesto, CA 95354-2203
- **Phone:** (209) 262-7373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Golden Valley Health Center (NPI 1346224417, Modesto, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 22, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1942182696) · Data from the CMS NPPES public registry.