Prestige Care Physician, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A42582 Issued in CA

Legal business name

PRESTIGE CARE PHYSICIAN, INC

Practice address

23600 Telo Ave
Suite 145
Torrance, CA 90505-4035

Phone

(310) 325-9009

Fax

(310) 325-4938

NPI assigned

May 12, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Lalaine Chin

Title

Manager

Phone

(310) 325-3084

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hicham Siouty, MD

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1801831904
  Medicare reassignment NPD

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1215255583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE",
            "address_2": "SUITE 145",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054035",
            "telephone_number": "310-325-9009",
            "fax_number": "310-325-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE",
            "address_2": "SUITE 145",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054035",
            "telephone_number": "310-325-9009",
            "fax_number": "310-325-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CARE PHYSICIAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "LALAINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-325-3084",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A42582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ave Gerti Premne
• Kylie Prentice, MD
• Adreana Prescott
• Steve Joseph Presha
• David Zeilik Presser, M.D.
• Prestige Caregiving Agency
• Erisa Preston, PSY.D.
• Christine Deborah Price
• Dmanda Price
• Saul Priciliano Iturralde

• Internal Medicine Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.