Individual provider Active NPI

Rafael Siqueiros, M.D.

  • Family Medicine Physician
  • Salinas, CA
National Provider Identifier
1043320468
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G675190 Issued in CA
Practice address
400 E Romie LN
Salinas, CA 93901-4017
Phone
(831) 770-0123
Fax
(831) 753-9717
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G675190 CA Primary
Obstetrics & Gynecology Physician 207V00000X G675190 CA

Addresses

Primary practice location

400 E Romie LN
Salinas, CA 93901-4017

Mailing address

400 E Romie LN
Salinas, CA 93901-4017
Phone (831) 770-0123

Other identifiers 1

IdentifierTypeStateIssuer
GR0083010MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001685 CA Practitioner - Family Practice 9436133238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Diego School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acacia Family Medical GroupGroup PAC ID 6507840394, 6 clinicians

Practice addresses (Care Compare)

400 E Romie LN
Salinas, CA 93901-4017
Phone (831) 770-0123

Hospital & facility affiliations

  • Central Coast Vna & Hospice, Inc Home health agency, Monterey, CA, CCN 057002
  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G675190CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acacia Family Medical Group Family Medicine CurrentSince May 1, 1998 Accepting new patients
Acacia Family Medical Group, Inc. Family Medicine CurrentSince May 1, 1998 Accepting new patients

Locations

400 E Romie Ln
Salinas, CA 93901
Phone (831) 770-0123

8036 San Miguel Canyon Rd
Salinas, CA 93907
Phone (617) 838-4702

Interoperability endpoints

  • Direct secure messaging: rafael.siqueiros.1@31019.direct.athenahealth.com
  • Direct secure messaging: admin@acaciafamily.e-mdsdirect.com

Organizations & group practices 2

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 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043320468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014017",
            "telephone_number": "831-770-0123",
            "fax_number": "831-753-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014017",
            "telephone_number": "831-770-0123",
            "fax_number": "831-753-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIQUEIROS",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G675190",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G675190",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.