Active NPI
Steven Michael Siragusa, DO
- Child & Adolescent Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1083110126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 20A19191
- Practice address
- 1920 Hillhurst Ave
Los Angeles, CA 90027-2712 - Phone
- (310) 935-0754
- NPI assigned
- Apr 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 20A19191 | CA | Primary |
Addresses
Primary practice location
1920 Hillhurst Ave
Los Angeles, CA 90027-2712
Mailing address
1920 Hillhurst Ave # 1165
Los Angeles, CA 90027-2712
Other practice location 1
555 Technology Court
Suite 300
Riverside, CA 92507
Phone (951) 686-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A19191 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Psychiatric Services Inc | Past | Accepting new patients | |
| Olive Crest | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1316101322
-
- Neurology Physician
- San Jose, CA
- NPI 1174094064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1083110126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 HILLHURST AVE # 1165",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900272712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 HILLHURST AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900272712",
"telephone_number": "310-935-0754"
}
],
"practiceLocations": [
{
"address_1": "555 Technology Court",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "92507",
"country_code": "US",
"telephone_number": "951-686-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIRAGUSA",
"first_name": "STEVEN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-05",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "20A19191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.