Active NPI
Lawrence Siordia, D.C.
- Chiropractor
- Fullerton, CA
National Provider Identifier
1114040466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 25273
- Practice address
- 515 E Commonwealth Ave
Fullerton, CA 92832-2020 - Phone
- (714) 871-7118
- Fax
- (714) 871-3372
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 25273 | CA | Primary |
Addresses
Primary practice location
515 E Commonwealth Ave
Fullerton, CA 92832-2020
Mailing address
7641 Knott Ave
Buena Park, CA 90620-2545
Phone (714) 412-7727
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25273 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1114040466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7641 KNOTT AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906202545",
"telephone_number": "714-412-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E COMMONWEALTH AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322020",
"telephone_number": "714-871-7118",
"fax_number": "714-871-3372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIORDIA",
"first_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "25273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.