Individual provider Active NPI

Maria Kristina Sia, NP, RN

  • Nurse Practitioner
  • La Puente, CA
National Provider Identifier
1043064975
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95029660 Issued in CA
Practice address
142 Ponderosa St
La Puente, CA 91744-6221
Phone
(626) 475-7014
NPI assigned
Apr 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95029660 CA Primary

Addresses

Primary practice location

142 Ponderosa St
La Puente, CA 91744-6221

Mailing address

142 Ponderosa St
La Puente, CA 91744-6221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305000019 CA Practitioner - Nurse Practitioner 6709307937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foster City Medical CenterGroup PAC ID 1052531878, 4 clinicians

Practice addresses (Care Compare)

1241 E Hillsdale Blvd
Suite 270
Foster City, CA 94404-1241
Phone (650) 918-5080

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95029660CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foster City Medical Center CurrentSince Dec 9, 2024 Accepting new patients

Locations

1241 E Hillsdale Blvd
Ste 270
Foster City, CA 94404
Phone (650) 918-5080

Interoperability endpoints

  • Direct secure messaging: msia704416@hisp.ehr.sutterhealth.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1043064975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PONDEROSA ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917446221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PONDEROSA ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917446221",
            "telephone_number": "626-475-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIA",
        "first_name": "MARIA KRISTINA",
        "credential": "NP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95029660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

Verify at the official NPI Registry.