Nancy E. Siskowic, NP, CNS

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN139580 Issued in CA

Practice address

608 Silver Spur Rd
Suite 270
Rolling Hills Estates, CA 90274-3602

Phone

(310) 872-4640

Fax

(310) 375-8415

NPI assigned

May 15, 2007

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114133576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 VIA SOMONTE",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741629",
            "telephone_number": "310-375-8414",
            "fax_number": "310-375-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SILVER SPUR RD",
            "address_2": "SUITE 270",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743602",
            "telephone_number": "310-872-4640",
            "fax_number": "310-375-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISKOWIC",
        "first_name": "NANCY",
        "middle_name": "E.",
        "credential": "NP, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "RN139580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris Parastou Shoghi, PHARMD
• Elaine Carole Shoji, M.D.
• Lesley Marla Silverstone, MA, MFT
• Isabel Simon, APCC
• Sinal Trade Corporation
• Anthony James Skelly Sr., PHARMD
• Darlene McDonald Skorka, PHD
• Judith Smith, M.A., LMFT
• David Socol, M.D.
• Marjan Sotoodehmehr

• Psychiatric/Mental Health Nurse Practitioner in Rolling Hills Estates, CA
• Providers in Rolling Hills Estates, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.