David Sisco MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

DAVID SISCO MD PC

Practice address

2460 N Ponderosa Dr Ste A117
Camarillo, CA 93010-2468

Phone

(805) 491-9353

NPI assigned

Jan 27, 2025

Organization subpart

No

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

Authorized official

Name

David Ross Sisco, MDNPI 1629344460

Title

President

Phone

(646) 327-6309

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Ross Sisco

  • Anesthesiology Physician
  • West Hollywood, CA
  • NPI 1629344460
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1487467247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 N PONDEROSA DR STE A117",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102468",
            "telephone_number": "805-491-9353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 Loma Vista Rd",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930033100",
            "country_code": "US",
            "telephone_number": "800-698-1280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID SISCO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "SISCO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-327-6309",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sammy P Darling III
• Rascel Datuin-Intia
• Ronda Davenport
• Taylor Leslie Davenport
• David H. Lowe, M.D. a Prof. Corp.
• Rhonda Jean David, LMFT
• Diana Davila
• Charles Samuel Davis
• Craig Collins Davis, B.A
• David M Davis, P.A.

• Anesthesiology Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.