Lourdes Flores Sison, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A053598 Issued in CA

Practice address

905 E San Antonio Dr
Long Beach, CA 90807-2211

Phone

(562) 728-9572

Fax

(562) 728-9562

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497820732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 BRAE BURN PL",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211515",
            "telephone_number": "562-480-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E SAN ANTONIO DR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072211",
            "telephone_number": "562-728-9572",
            "fax_number": "562-728-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISON",
        "first_name": "LOURDES",
        "middle_name": "FLORES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A053598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A535980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Singim
• Gabriela Sinohui
• Sandra Min Siow
• Ruth Sipple
• Katherine Siracusa, OTD/L
• Vikavatdei Leslie Sisowath, OTR/L
• Sistahpeace Reshaping Wellbalance CC Services
• Maryann Siu Ornelas, NP
• Krystal Lynda Siu
• Tony Siv

• Pediatrics Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.