Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Sidhu, DO

Individual provider Family Medicine Physician · NPI 1093165953

Kevin Sidhu, DO is a Family Practice in Jackson, California. Graduated from Touro Un College of Osteopathic Medicine, Vallejo in 2015, 11 years ago. Practices with Cepamerica Illinois LLP, a 493-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California, Illinois and Missouri.

Years since qualifying
11
Trained at
Touro Un College of Osteopathic Medicine, Vallejo
Licensed in
CA, IL, MO
In the registry since
2016
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12140 New York Ranch Rd
Jackson, CA 95642-9407
Phone: (209) 257-2400
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1035 Placer St, Redding, CA 96001-1125 — (530) 246-5710
  • 1035 Placer St, Redding, CA 96001-1125 — (530) 246-5710
  • 100 W Us Highway 60, Mountain View, MO 65548-8542 — (417) 934-7000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036158817 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 20A15886 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2019045209 (MO)

Record details

NPI number1093165953
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2016
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing address2362 Camberwell Dr, Saint Louis, MO 63131-2116

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated 2015 (11 years in practice)
Group practice Cepamerica Illinois Llp — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Jackson