Active NPI
Robert Siskin
- Geriatric Pharmacist
- La Quinta, CA
National Provider Identifier
1215338579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 29278
- Practice address
- 79120 Fox Run
La Quinta, CA 92253-4531 - Phone
- (442) 400-3213
- NPI assigned
- Sep 5, 2014
- Sex
- Male
- Sole proprietor
- No
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 Pharmacist | 1835G0303X | 29278 | CA | Primary |
Addresses
Primary practice location
79120 Fox Run
La Quinta, CA 92253-4531
Mailing address
79120 Fox Run
La Quinta, CA 92253-4531
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29278 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409875200000",
"number": "1215338579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79120 FOX RUN",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922534531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79120 FOX RUN",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922534531",
"telephone_number": "442-400-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISKIN",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-05",
"last_updated": "2014-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CA",
"license": "29278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Quinta, CA
- Sheri Wen Hsu, M.D., Inc (Desert Rheumatology Clinic)
- Valerie K Shore, M.A., LMFT
- Anna Silva
- Sophai Simok
- Trishta Siqueiros-Villalta
- Jason Matthew Smith, PTA
- Karen Renee Snake
- Social Services of Southern California a Licensed Clinical Social Work (Your Space Counseling)
- Delos Soehren Jr., D.C.
- Rita Soto, DDA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.