Eliot Bruce Siegel, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G39748 Issued in CA

Practice address

200 Stein PLZ
1-340
Los Angeles, CA 90095-0001

Phone

(310) 825-5000

NPI assigned

Oct 18, 2006

Last updated

May 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Eliot Siegel MD Inc

  • Ophthalmology Physician
  • Santa Monica, CA
  • NPI 1508198482
  Authorized official Same address or phone
• E Joseph Nadji MD a Medical Corporation

  • Ophthalmology Physician
  • Santa Monica, CA
  • NPI 1982084901
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1427139252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH STREET",
            "address_2": "SUITE 260",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-829-1224",
            "fax_number": "310-315-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STEIN PLZ",
            "address_2": "1-340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "ELIOT",
        "middle_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G39748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G397480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Brian Siegel, RADT
• Cara Siegel, M.D.
• Carol Susan Siegel, MFT28726
• Danielle Siegel
• Derek Sidney Siegel
• Jeffrey D. Siegel, MD
• Jennifer Siegel
• Jennifer Siegel
• Madisen Avery Siegel
• Matthew Siegel

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.