Sima Siddiq, NURSE PRACTIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

22571 Issued in CA

Practice address

22110 Roscoe Blvd Ste 201
West Hills, CA 91304-3861

Phone

(954) 923-7440

NPI assigned

May 11, 2018

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Minghsun Liu, M.D., PC

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1518309368
  Medicare reassignment NPD
• WT Health of California LLC

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1063201655
  Medicare reassignment NPD
• Vitality Ageless Center LLC

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1730657271

  CA

  Medicare reassignment NPD
• Cal Sport Physical Medicine Inc

  • Internal Medicine Physician
  • Oakdale, CA
  • NPI 1952868218
  NPD

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1619467925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 HOLLYWOOD BLVD STE 460",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216933",
            "telephone_number": "954-923-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD STE 201",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043861",
            "telephone_number": "954-923-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQ",
        "first_name": "SIMA",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "22571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roya Shoffet-Yaghoubian, DDS,DMD
• Mani Shokoufandeh, DC
• Nadine Shokralla, PHARMD
• Shouridge Group Home
• Bruce Shragg, M.D.
• Joseph Sikorra
• Josh Silver
• Andrea Simon, PHARMD
• Simonian Dental Corporation
• Belinda Simonian, DDS

• Adult Health Nurse Practitioner in West Hills, CA
• Providers in West Hills, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.