Cynthia F Siqueiros
Individual provider Active NPI Physician Assistant · Edwards Afb, CA
NPI 1437565637 · NPPES record last updated Nov 17, 2021
Key facts
- NPI
- 1437565637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 30 Nightingale Rd
Edwards Afb, CA 93524-6307 - Phone
- (661) 277-7118
- NPI assigned
- Jul 8, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
30 Nightingale Rd
Edwards Afb, CA 93524-6307
Mailing address
30 Nightingale Rd
Edwards Afb, CA 93524-6201
Phone (661) 277-7118
Other providers in Edwards Afb, CA
- Joel David Reyes
- Crystal Annette Rydalch
- Jerel Devere Scarberry
- Donna N. Sewell
- Jordan Lee Simonson
- Richard Lee Stahlman
- Jonathan A Stering
- Stephen John Sullivan Jr.
- Deborah Taschner
- Jade Nguyen Texcell
All providers in Edwards Afb, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2021. 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.