Active NPI
Philip Cisneros-Seibel, PHD
- Psychologist
- San Diego, CA
National Provider Identifier
1346324332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 30970
- Practice address
- 3734 6TH Ave
San Diego, CA 92103-4317 - Phone
- (302) 128-7063
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 30970 | CA | Primary |
| Psychologist | 103T00000X | 4558 | OH |
Addresses
Primary practice location
3734 6TH Ave
San Diego, CA 92103-4317
Mailing address
845 Fort Stockton Dr Unit 514
San Diego, CA 92103-6707
Phone (330) 212-8706
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150223 | Medicaid | OH | |
| SECP14962 | Other | OH | PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4558 | OH | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1346324332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 FORT STOCKTON DR UNIT 514",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921036707",
"telephone_number": "330-212-8706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3734 6TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034317",
"telephone_number": "302-128-7063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISNEROS-SEIBEL",
"first_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "30970",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4558",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0150223",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "SECP14962",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Cisneala a Professional Physical Therapy Corporation
- Alejandra Cisneros Serrano
- Monica Cisneros Vazquez
- Maribel Esperanza Cisneros-Almanza
- Gerardo Cisneros-Seibel, MD
- Alejandra Torres Cisneros
- Amanda Elise Cisneros, LMFT
- Danielle Cisneros
- Dianna Louise Cisneros, CRNA (NURSE ANESTHE
- Erin Malia Cisneros, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.