DR. JOSEPH SIDIKARO M.D. PH. D NPI 1023197241

NPI Information

NPI: 1023197241
Provider Name: DR. JOSEPH SIDIKARO, M.D., PH. D
Classification: Ophthalmology - 207WX0107X
Entity Type: Individual

Specialization: Retina Specialist

PECOS Registration: Yes

Address:
435 N ROXBURY DR STE 410
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 858-6569
Get Directions

DR. Joseph Sidikaro, M.D., PH. D is a retina specialist ophthalmology in Beverly Hills, CA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. DR. Joseph Sidikaro, M.D., PH. D NPI is 1023197241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

435 N ROXBURY DR STE 410
BEVERLY HILLS, CA
ZIP 90210-006
Phone: (310) 858-6569
Fax: (310) 858-3922

The NPI 1023197241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 6/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		C40996	CALIFORNIA	No
2	207WX0107X	Ophthalmology	Retina Specialist	C40996	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C40996	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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