Siqi Chen
Individual provider Active NPI Homemaker · Woodside, CA
NPI 1336945815 · NPPES record last updated Feb 24, 2025
Key facts
- NPI
- 1336945815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 780 W California Way
Woodside, CA 94062-4057 - Phone
- (310) 405-4544
- NPI assigned
- Feb 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
780 W California Way
Woodside, CA 94062-4057
Mailing address
780 W California Way
Woodside, CA 94062-4057
Phone (310) 405-4544
Other providers in Woodside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.