Organization Active NPI

Sia-Zol, Inc.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1003996869
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44085 Issued in CA
Legal business name
SIA-ZOL, INC.
Practice address
9330 Mira Mesa Blvd Ste F
San Diego, CA 92126-4822
Phone
(858) 536-7005
Fax
(858) 536-7006
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lea Maria Sia-Zolina, DDS
Title
Dentist
Phone
(858) 536-7005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44085 CA Primary

Addresses

Primary practice location

9330 Mira Mesa Blvd Ste F
San Diego, CA 92126-4822

Mailing address

9330 Mira Mesa Blvd Ste F
San Diego, CA 92126-4822
Phone (858) 536-7005

Other identifiers 2

IdentifierTypeStateIssuer
666874OtherPROVIDER NO. UNITED CONCO
44085OtherCASTATE LICENSE

National Provider Directory

National Provider Directory

Locations

9330 Mira Mesa Blvd
Ste F
San Diego, CA 92126
Phone (858) 536-7005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1003996869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 MIRA MESA BLVD STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264822",
            "telephone_number": "858-536-7005",
            "fax_number": "858-536-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 MIRA MESA BLVD STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264822",
            "telephone_number": "858-536-7005",
            "fax_number": "858-536-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIA-ZOL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "SIA-ZOLINA",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "858-536-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NO. UNITED CONCO",
            "identifier": "666874",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "44085",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.