JAVED SIDDIQI (MD) – Neurological Surgery Physician, NPI 1407963176

JAVED SIDDIQI (MD) is a healthcare provider. based in Colton, California. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. A62389 (CA). The NPI Number for JAVED SIDDIQI (MD) is 1407963176

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JAVED SIDDIQI (MD)
NPI
1407963176
Phone
(909) 580-6210
Address
400 N PEPPER AVE
Enumeration Date
25 August 2006
Last Update Date
3 January 2025

Doctor Profile

Medical School Name
UNIV OF WESTERN ONTARIO SCHULICH SCHOOL OF MED
Secondary Phone
9095803353
Graduation Year
1991 (35 years ago)
PAC ID
9032172366
Group Practice PAC ID
4385556687
Professional Enrollment ID
I20041108001239
Address ID
CA923241801CO400XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

795 NEUROSURGERY in CA

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Provider Addresses for JAVED SIDDIQI (MD)

  • 400, Pepper Avenue, West Colton, Colton, San Bernardino County, California, 92324, United States

    ARMC MODULAR#3

    COLTON, CA 923241801

    Phone: (909) 580-6210

    Fax: (909) 580-1363

    Type: Location

  • 39000 Bob Hope Dr

    Rancho Mirage, CA 922703221

    Phone: (760) 507-8473

    Fax: (760) 507-8316

    Type: Location

  • 670, Peony Drive, Grand Junction, Mesa County, Colorado, 81507, United States

    REDLANDS, CA 92373

    Phone: (909) 747-0371

    Fax: (909) 307-3287

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Integra LifeSciences Corporation ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041108001239INeurosurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385556687View full group profile
NameSpecialtyState
-CA
Thoracic Surgery, General SurgeryCA
Surgical Oncology, General SurgeryCA
Vascular SurgeryCA
General Surgery, Vascular SurgeryCA
Vascular Surgery, General SurgeryCA
-CA
General Surgery, Vascular SurgeryCA
Thoracic SurgeryCA
N E U R O S U R G E R YCA

Reviews

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Frequently asked questions

What NPI should I save for JAVED SIDDIQI (MD)?
Save NPI 1407963176 if you need a stable reference for JAVED SIDDIQI (MD).
Is JAVED SIDDIQI (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JAVED SIDDIQI (MD) list a primary specialty?
If you are matching referrals, note Neurological Surgery Physician for JAVED SIDDIQI (MD). Clinical services aligned with this taxonomy classification.
Does JAVED SIDDIQI (MD) practice in California?
You will see Colton, California on file for JAVED SIDDIQI (MD) alongside any extra practice locations.
What if Colton, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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