Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kevin Sidhu, DO

Emergency Medicine Physician in Jackson, CA · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093165953

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Registry record

Entity type Individual (Type 1)

Name Kevin Sidhu

Credential DO

Sex Male

Practice address 12140 New York Ranch Rd, Jackson, CA, 95642

Phone (209) 257-2400

Enumeration date Jun 21, 2016

Last updated in NPPES Aug 10, 2023

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 20A15886 (CA) Secondary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 036158817 (IL) Primary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 2019045209 (MO) Secondary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
1093165953	Medicaid	CA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Kevin Sidhu?

Kevin Sidhu is registered in NPPES with the primary taxonomy of Emergency Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

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Angela Groverman Physician Assistant · Jackson, CA NPI 1720084585 Alisa Roda Pediatrics Physician · Jackson, CA NPI 1477553261 Linda Colliflower Nurse Practitioner · Jackson, CA NPI 1265670384 Jabir Akhtar Family Medicine Physician · Jackson, CA NPI 1932468881 Tamara Stogner Diabetes Educator Registered Nurse · Jackson, CA NPI 1982957098 Geralyn Da Silva Registered Dietitian · Jackson, CA NPI 1306245774 Christy Hobgood Clinical Social Worker · Jackson, CA NPI 1316482136 Benjamin Mcpherson Family Nurse Practitioner · Jackson, CA NPI 1912639758

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-10.