Rachel Anne Siegel, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95018545 Issued in CA

Practice address

21750 Center Court Dr S
Suite 650
Cerritos, CA 90703

Phone

(414) 531-8081

NPI assigned

Oct 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rachel Anne Goldberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: rsiegel@landmarkhealth-direct.org

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1518620871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 IDAHO AVE APT 23",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032770",
            "telephone_number": "414-531-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21750 CENTER COURT DR S",
            "address_2": "SUITE 650",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "414-531-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95018545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "GOLDBERG",
            "middle_name": "ANNE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mildred M Shrubb, R.N., N.P.
• I-Hsiang Shu, MD
• Crisel Fleur Sia
• Shaun Sia
• Nicole Guilas Sibal
• Kevin Craig Sielky, MSW
• Henry Alexander Siercke
• Erika Sierra
• Silver Care Medical Transport Inc
• Michelle Silverman, NP

• Gerontology Nurse Practitioner in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.