Dmitriy Sivtsov, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A88348 Issued in CA

Practice address

2250 3Rd Ave
San Diego, CA 92101-2024

Phone

(858) 230-7585

Fax

(858) 658-0857

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Silverlining Psychiatry Medical Group

  • Prescribing (Medical) Psychologist
  • San Diego, CA
  • NPI 1508294083
  Medicare reassignment NPD Authorized official
• International Center for Behavioral Health

  • Community/Behavioral Health Agency
  • La Jolla, CA
  • NPI 1043536998
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1467553958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012024",
            "telephone_number": "858-230-7585",
            "fax_number": "858-658-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012024",
            "telephone_number": "858-230-7585",
            "fax_number": "858-658-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVTSOV",
        "first_name": "DMITRIY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A88348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wing Yin Siu
• Siuman Fan DDS Inc.
• Mamata Sivagnanam, MD
• Delini Sivakumar, MD
• Gowri Sivaraman, M.D.
• Karla Estrella Sixtos Garcia, RBT
• Nilofar Siyar, PHARM.D
• Elizabeth Sizemore, LMFT
• Laura Elizabeth Sizemore
• Sizewise Rentals LLC

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.