Individual provider Active NPI

Sherene El-Sioufi, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Cupertino, CA
National Provider Identifier
1205940657
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
17349 Issued in CA
Practice address
10700 Stevens Canyon Rd
Cupertino, CA 95014-3945
Phone
(732) 331-8176
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB07500000 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MB07500000 NJ
Pulmonary Disease Physician 207RP1001X 25MB07500000 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 17349 CA Primary

Addresses

Primary practice location

10700 Stevens Canyon Rd
Cupertino, CA 95014-3945

Mailing address

10700 Stevens Canyon Rd
Cupertino, CA 95014-3945
Phone (732) 331-8176

Other practice location 1

1020 Alex Dr
North Brunswick, NJ 08902-5700
Phone (732) 658-6599

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
17349CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1205940657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 STEVENS CANYON RD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143945",
            "telephone_number": "732-331-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 STEVENS CANYON RD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143945",
            "telephone_number": "732-331-8176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Alex Dr",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089025700",
            "country_code": "US",
            "telephone_number": "732-658-6599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-SIOUFI",
        "first_name": "SHERENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB07500000",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MB07500000",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MB07500000",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "17349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.