Elena Mihailovna Sinitsyna, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95021351 Issued in CA

Practice address

3111 Camino del Rio N Ste 625
San Diego, CA 92108-5718

Phone

(619) 738-5566

Fax

(619) 566-0202

NPI assigned

Sep 19, 2022

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

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: billing@ihasd.com

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1124740816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 CAMINO DEL RIO N STE 625",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085718",
            "telephone_number": "619-738-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 CAMINO DEL RIO N STE 625",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085718",
            "telephone_number": "619-738-5566",
            "fax_number": "619-566-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINITSYNA",
        "first_name": "ELENA",
        "middle_name": "MIHAILOVNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95021351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BILLING@IHASD.COM",
            "affiliation": "Y",
            "affiliationName": "INTEGRATED HEALTHCARE ALLIANCE",
            "address_1": "3111 Camino Del Rio N Ste 625",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921085718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shaquille Singletary
• Sierra Singleton
• Tiffany Nicole Singleton
• Daniel B. Singley, PH.D.
• Deviyani Sinha
• Savannah Rose Sinke, AGNP-BC
• Sara M Sinkking
• Tyler Dawn Sinkovich
• James Holter Sinks, DDS
• Phoebe Sinn, O.D.

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.