Edward Setrack Siyahian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

031160 Issued in CA

Practice address

2386 15TH Ave
San Francisco, CA 94116

Phone

(415) 661-3525

Fax

(415) 661-3525

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225141815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 15TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94116",
            "telephone_number": "415-661-3525",
            "fax_number": "415-661-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 15TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94116",
            "telephone_number": "415-661-3525",
            "fax_number": "415-661-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIYAHIAN",
        "first_name": "EDWARD",
        "middle_name": "SETRACK",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "031160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Siuda, RD, LD
• Della Sivakumar
• Shankarapryan Sivanushanthan, MD
• Misha Kaur Sivia, M.D.
• Sixth Street Self-Help Center
• Benjamin John Sizemore
• Kaitlin Oma Sizemore, PMHNP
• Thylon Sizemore
• Anette M Sjogren, MFT
• Shawn Amanda Sjogren, RN

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.