Siyan Clinical Research

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SIYAN CLINICAL RESEARCH

Practice address

480 Tesconi Cir Ste B
Santa Rosa, CA 95401-4691

Phone

(707) 206-7268

Fax

(707) 206-7254

NPI assigned

Sep 7, 2021

Organization subpart

No

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

Authorized official

Name

Anish Shah

Title

Owner

Phone

(707) 206-7268

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1093484834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 TESCONI CIR STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014691",
            "telephone_number": "707-206-7268",
            "fax_number": "707-206-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 TESCONI CIR STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014691",
            "telephone_number": "707-206-7268",
            "fax_number": "707-206-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIYAN CLINICAL RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-206-7268"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Louis Sion
• Helen Eda Sirica, CNM
• Angela Sitka, LMFT
• Siyan Care Corporation
• Siyan Clinical Corporation
• Sarah Ann Sizemore, OTR/L,CHT
• Todd R Skabelund, DDS
• Desirae Skadal, DPT
• Keaton Skaggs
• Mark Daniel Skaggs

• Substance Abuse Rehabilitation Facility in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.