Healthcare Provider Details

I. General information

NPI: 1629118468
Provider Name (Legal Business Name): SACHCHIDA N. SINHA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 DIVISION ST STE 208
RIVERSIDE CA
92506-3269
US

IV. Provider business mailing address

PO BOX 2069
RIVERSIDE CA
92516-2069
US

V. Phone/Fax

Practice location:
  • Phone: 714-783-6330
  • Fax: 951-368-0429
Mailing address:
  • Phone: 714-783-6330
  • Fax: 951-368-0429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberC39988
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC39988
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: