Sickle Cell Disease Enhanced Care Management

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

SICKLE CELL DISEASE ENHANCED CARE MANAGEMENT

Doing business as

Center for Inherited Blood Disorders

Practice address

701 S Parker St Ste 1200
Orange, CA 92868-4727

Phone

(657) 375-0503

NPI assigned

Jan 21, 2025

Organization subpart

Yes

Parent organization

CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISORAs reported in NPPES

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

Authorized official

Name

Matthew Cianciulli

Title

Manager

Phone

(657) 375-0503

Specialties & licenses 1

Addresses

Other names 1

• Center for Inherited Blood Disorders Doing business as

Part of

Center for Comprehensive Care Diagnosis of Inherited Blood Disor

Locations

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1245042944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S PARKER ST STE 1200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684727",
            "telephone_number": "657-375-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S PARKER ST STE 1200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684727",
            "telephone_number": "657-375-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SICKLE CELL DISEASE ENHANCED CARE MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISOR",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "CIANCIULLI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "657-375-0503"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Inherited Blood Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Shum Zhou, PHARMD
• Eddie Wilcox Shum, DO
• Jill Siador
• Mercedes Monique Sibrian
• Shannon Ha Duyen Sicat, NP
• Maricruz Sida Galvan
• Vindy Ayu Sidarta Putri
• Imran N Siddiqi, M.D., PH.D.
• Nayeem Siddique, BCBA
• Nadine Sidhom

• Case Manager/Care Coordinator in Orange, CA
• Providers in Orange, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.