Siena Medical Group a Medical Morporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

20A6873 Issued in CA

Legal business name

SIENA MEDICAL GROUP A MEDICAL MORPORATION

Practice address

1711 W Temple St
Suite 3681
Los Angeles, CA 90026-5421

Phone

(213) 989-0776

Fax

(213) 989-0703

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Stanitsas, D.O.NPI 1912087024

Title

President

Phone

(213) 989-0776

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Stanitsas, D.O.

  • Emergency Medicine Physician
  • Rossmoor, CA
  • NPI 1912087024
  NPD (past) Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598898660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 3681",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-989-0776",
            "fax_number": "213-989-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 3681",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-989-0776",
            "fax_number": "213-989-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIENA MEDICAL GROUP A MEDICAL MORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANITSAS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-989-0776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A6873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita B Siegman, PHD
• Candace Suzanne Siegmund, PSYD
• Carol Siem, MS, CCC-SLP
• Rachel Sasha Siemons, MD
• Lauren Stephanie Siems, C.G.C.
• Anna-Claire Siena, MD
• Nicholas Morris Siena
• Sientrist Healing Center, Inc.
• Katherine Jayne Sieracki
• Sierra Bonita Board and Care Inc

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.