SIDELLE MEDICAL CENTER (NPI# 1497098388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497098388 |
| Entity Type | Organization |
| Organization Name | SIDELLE MEDICAL CENTER |
| Practice Address |
1330 N Indian Canyon Dr Suite H Palm Springs CA 92262-4880 |
| Practice Telephone | 7603228888 |
| Mailing Telephone | 7603228888 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-09-13 |
| Authorized Official Name | DR. MARTIN VIRACHAI SATTAH (PRESIDENT) |
| Authorized Official Telephone | 8186022428 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
A91335 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1330 N INDIAN CANYON DR SUITE H |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-4880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215947775 | Wchs Inc. | Clinic/Center | 1330 N Indian Canyon Dr, Suite A, Palm Springs, CA 92262-4880 | 2006-08-08 |
| 1801494265 | Elvira Shaunise Meza | Counselor | 1330 N Indian Canyon Dr, Palm Springs, CA 92262-4880 | 2020-10-16 |
| 1518597608 | Haley Camille Freedman | Counselor | 1330 N Indian Canyon Dr, Palm Springs, CA 92262-4880 | 2020-01-17 |
| 1386287530 | Brendan Burke | Counselor | 1330 N Indian Canyon Dr, Palm Springs, CA 92262-4880 | 2019-10-21 |
| 1497244792 | Matthew John Elliott | Internal Medicine | 1330 N Indian Canyon Dr, Palm Springs, CA 92262-4880 | 2018-05-02 |
| 1013439298 | Jessica Jacuinde | Licensed Vocational Nurse | 1330 N Indian Canyon Dr, Palm Springs, CA 92262-4880 | 2017-07-10 |
| 1710410261 | Alicia Mims | Counselor | 1330 N Indian Canyon Dr, Palm Springs, CA 92262-4880 | 2017-04-11 |
| 1881125987 | Samuel Lang | Counselor | 1330 N Indian Canyon Dr, Suite A, Palm Springs, CA 92262-4880 | 2017-03-21 |
| 1083168298 | Jordyn Dougherty | Licensed Vocational Nurse | 1330 N Indian Canyon Dr, Palm Springs, CA 92262-4880 | 2016-08-05 |
| 1477928158 | Leslie J Cameron | Counselor | 1330 N Indian Canyon Dr, Palm Springs, CA 92262-4880 | 2015-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467692947 | Tulika Singh | Internal Medicine | 1695 N Sunrise Way Ste 203, Palm Springs, CA 92262-5572 | 2009-02-24 |
| 1740370428 | Kenneth Lichtenstein | Internal Medicine | 4791 E Palm Canyon Dr Ste 200, Palm Springs, CA 92264-5234 | 2006-10-13 |
| 1538102207 | Shubha J Kerkar | Internal Medicine | 1180 North Indian Canyon Dr, E218, Palm Springs, CA 92262 | 2006-06-13 |
| 1407841315 | William Joseph Grimm | Internal Medicine | 1492 N Palm Canyon Dr, Palm Springs, CA 92262-4412 | 2005-09-16 |
| 1619344272 | Xolani Mdluli,md,inc., A Professional Medical Corporation | Internal Medicine | 1180 N Indian Canyon Dr, Suite E218, Palm Springs, CA 92262-4800 | 2015-08-28 |
| 1508026725 | Michael S Somero Md - A Professional Corporation | Internal Medicine | 1330 N Indian Canyon Dr, Suite H, Palm Springs, CA 92262-4880 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710527452 | Minal Kapoor Md PC | Internal Medicine | 14901 National Ave Ste 202, Los Gatos, CA 95032-2637 | 2020-01-10 |
| 1285271247 | Sandeep Kumar Bansil Md Inc | Internal Medicine | 641 S Primrose St, La Habra, CA 90631-9245 | 2019-12-09 |
| 1356906739 | Joshua Wolfsohn Do Inc | Internal Medicine | 4000 Calle Tecate Ste 220, Camarillo, CA 93012-5289 | 2019-05-01 |
| 1598224222 | Andrew Markus Faulk | Internal Medicine | 2121 Webster St Apt 605, San Francisco, CA 94115-7812 | 2019-03-12 |
| 1205305026 | Wilbert C Jordan Md Inc | Internal Medicine | 16660 Paramount Blvd Ste 303, Paramount, CA 90723-5459 | 2018-11-21 |
| 1295182335 | East Bay Area Quality Health Corporation | Internal Medicine | 400 29th Ave, Suite 501, Oakland, CA 94601-2106 | 2016-05-18 |
| 1174985451 | Nicholas Robert Degner | Internal Medicine | 705 San Carlo Ave, Colton, CA 92324-6864 | 2016-03-24 |
| 1184084865 | Mohammad Yousef Alkhatib Md Inc | Internal Medicine | 79405 Highway 111 Ste 9-334, La Quinta, CA 92253-8300 | 2016-02-24 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1407239700 | Alan Koff | Internal Medicine | 4860 Y St Ste 0101, Sacramento, CA 95817-2307 | 2015-07-04 |
| Find all providers with the same taxonomy | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.