Dimitri Sirakoff DO Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5552 Issued in CA

Legal business name

DIMITRI SIRAKOFF DO INC

Practice address

1206 E 17TH Street
Suite 204
Santa Ana, CA 92701-2341

Phone

(714) 835-3500

Fax

(714) 835-4619

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dimitri Sirakoff, DO

Title

President

Phone

(714) 835-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dimitri Sirakoff, DO, Inc

  • Non-Pharmacy Dispensing Site
  • Santa Ana, CA
  • NPI 1568773562
  NPPES parent name

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235351768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E 17TH STREET",
            "address_2": "SUITE 204",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012341",
            "telephone_number": "714-835-3500",
            "fax_number": "714-835-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E 17TH STREET",
            "address_2": "SUITE 204",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012341",
            "telephone_number": "714-835-3500",
            "fax_number": "714-835-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRI SIRAKOFF DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SIRAKOFF",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-835-3500",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX55521",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dima Summakia Professional Corporation
• John Joseph Dimare III
• Caroline Jo Dimatteo, PA-C
• Melinda Dimeo
• Dimitri Sirakoff D.O., Inc
• Dimitri Sirakoff, D.O., Inc.
• Dimitri Sirakoff, DO, Inc
• Dinh Dental Corporation
• Bao Han Ngoc Dinh
• Christine K Dinh, BEHAVIOR TECHNICIAN

• Family Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, 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 Mar 7, 2023; 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.