Active NPI
Victor Siew, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Fountain Valley, CA
National Provider Identifier
1164515003
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Feb 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- G32104
- Practice address
- 17220 Newhope St
Suite #125
Fountain Valley, CA 92708-4272 - Phone
- (714) 435-0600
- Fax
- (714) 435-1030
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | G32104 | CA | Primary |
Addresses
Primary practice location
17220 Newhope St
Suite #125
Fountain Valley, CA 92708-4272
Mailing address
105 Irvine Cove PL
Laguna Beach, CA 92651-1042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G32104 | Medicaid | CA |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G32104 | CA | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1164515003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 IRVINE COVE PL",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926511042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17220 NEWHOPE ST",
"address_2": "SUITE #125",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084272",
"telephone_number": "714-435-0600",
"fax_number": "714-435-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEW",
"first_name": "VICTOR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "G32104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G32104",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
- Siamak Karimian MD Professional Corporation
- Sias Medical Corporation
- Eva Rennea Sibole
- Magdi A Sidhom, M.D.
- Sara Sierra-Valinsky, LCSW
- Deborah N Silverstein, MSW
- Stanley Jay Silverstein, PH.D.
- Simon Cheung, a Professional Corp
- Lydia Michelle Simon, PHARM.D.
- Simply Psych Nursing; a Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.