Reuven Fernandez Sison, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A85883 Issued in CA

Practice address

850 S Atlantic Blvd Ste 102
Monterey Park, CA 91754-4727

Phone

(626) 607-0333

Fax

(626) 607-0379

NPI assigned

Aug 20, 2006

Last updated

Aug 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Dermatology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M.a. Medical Group, IncGroup PAC ID 9436292448, 2 clinicians

Michael P Milligan MD IncGroup PAC ID 4688588155, 3 clinicians

Natalie Driessen MD IncGroup PAC ID 0446481360, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Efficient Home Health Services, Inc Home health agency, Northridge, CA, CCN 058484
• Suffolk Home Health, Inc Home health agency, Azusa, CA, CCN 757972
• Centrum Home Health, Inc. Home health agency, Valley Village, CA, CCN 757398
• Universal Preventive Home Health Care, Inc. Home health agency, Simi Valley, CA, CCN 059522
• Themis Home Health, Inc. Home health agency, Glendale, CA, CCN 757796
• Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECEDDD/Endpoint/ECEDDD
• Direct secure messaging: reuven.sison.p1@direct.lakeside.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M.a. Medical Group, Inc

  • Family Medicine Physician
  • Monterey Park, CA
  • NPI 1578790234
  Medicare reassignment Care Compare group NPD Authorized official
• Michael P Milligan MD Inc

  • Dermatology Physician
  • Rancho Mirage, CA
  • NPI 1568661692
  Medicare reassignment Care Compare group NPD
• Natalie Driessen, MD, Inc.

  dba Dermatology and Plastic Surgery Specialists

  • Plastic Surgery Physician
  • Palm Desert, CA
  • NPI 1356770515
  Medicare reassignment Care Compare group NPD
• Lakeside Medical Organization, a Medical Group Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1831426642

  Family Medicine

  Medicare reassignment NPD
• Prowellness Healthcare Inc.

  • Internal Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1053150698
  Medicare reassignment
• Lakeside Medical Associates, a Medical Group, Inc.

  dba Lakeside Community Healthcare Medical Group

  • Rheumatology Physician
  • Burbank, CA
  • NPI 1861499535
  NPD (past)
• Maria Auxiliadora Medical Group

  • General Practice Physician
  • South Gate, CA
  • NPI 1104931112
  NPD (past)
• St Francis Medical Center

  • Long Term Care Hospital
  • Lynwood, CA
  • NPI 1346378270
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centrum Home Health, Inc.

  • Home Health Agency
  • Valley Village, CA
  • NPI 1700548310
  Care Compare affiliation
• Efficient Home Health Services, Inc.

  • Home Health Agency
  • Northridge, CA
  • NPI 1093853699
  Care Compare affiliation
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  Care Compare affiliation
• Suffolk Home Health, Inc

  • Home Health Agency
  • Azusa, CA
  • NPI 1164013355
  Care Compare affiliation
• Themis Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1306427752
  Care Compare affiliation
• Universal Preventive Home Health Care, Inc

  • Home Health Agency
  • Simi Valley, CA
  • NPI 1952675233
  Care Compare affiliation

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1225143274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD STE 102",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544727",
            "telephone_number": "626-607-0333",
            "fax_number": "626-607-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD STE 102",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544727",
            "telephone_number": "626-607-0333",
            "fax_number": "626-607-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISON",
        "first_name": "REUVEN",
        "middle_name": "FERNANDEZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A858830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ermenia Silva, PA-C
• Kenneth T Sim, MD
• Simon Wong Dental Group Inc. (Calstate Dental)
• Kennedy Singer
• Singh a. Boun, MD & Nick Lee, MD, a Professional Corporation
• Jacinta Nyssa Situ, RPH
• Natalya Sivashov, LMFT
• Derricka Antoinette Smith
• Sonia Carmen Smith, NP
• Tarah Janea Soebianto, PHARMD

• Family Medicine Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.