James Siy, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000024797 Issued in CA

Practice address

8045 E Chapman Ave
Orange, CA 92869-4512

Phone

(714) 628-4704

NPI assigned

Apr 2, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491091200000",
    "number": "1083146609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 N ORANGE ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928676738",
            "telephone_number": "707-815-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928694512",
            "telephone_number": "714-628-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIY",
        "first_name": "JAMES",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-02",
        "last_updated": "2017-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000024797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sisters Senior Care Inc.
• Monique L Siswoyo
• Faaua Siu
• David Sivard
• Mitchell Siwa
• Desmond Adrian Sjauwfoekloy, MD
• Carol Marie Skaggs, SCHOO PSYCHOLOGIST
• Elyse Carolyn Skelton, RD
• Harry B Skinner, MD
• Shannon Skochko

• Athletic Trainer in Orange, CA
• Providers in Orange, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2017; 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.