Active NPI
Patrick K Siu, M.D.
- Internal Medicine Physician
- Camarillo, CA
National Provider Identifier
1629005475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G86731
- Practice address
- 422 Arneill Rd Ste B
Camarillo, CA 93010-6434 - Phone
- (805) 383-4510
- Fax
- (805) 383-4511
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MD 4738 | HI | |
| Internal Medicine Physician | 207R00000X | G86731 | CA | Primary |
Addresses
Primary practice location
422 Arneill Rd Ste B
Camarillo, CA 93010-6434
Mailing address
2705 Loma Vista Rd
Suite 205
Ventura, CA 93003-1581
Phone (805) 667-2801
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01348502 | Medicaid | HI | |
| RHM08609F | Medicaid | CA | |
| D0014375 | Other | HI | SHIELD/HMSA |
| 050394 | Other | CA | BLUE CROSS |
| RHM18553H | Medicaid | CA | |
| RHM08608F | Medicaid | CA | |
| ZZT40394F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 4738 | HI | MD | Emergency Medical Services (Emergency Medicine) Physician |
| G86731 | CA | MD | Internal Medicine Physician |
| 4738 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Islands Emergency Medical Service Hawaii, LLC | Emergency Medical Services | Past | Accepting new patients |
| Community Memorial Health System | Past | Accepting new patients | |
| Community Memorial Health System | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Oxnard, CA
- NPI 1124067574
-
- Multi-Specialty Clinic/Center
- Ojai, CA
- NPI 1588446892
-
- Emergency Medical Services (Emergency Medicine) Physician
- Honolulu, HI
- NPI 1154393353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1629005475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 LOMA VISTA RD",
"address_2": "SUITE 205",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031581",
"telephone_number": "805-667-2801",
"fax_number": "805-667-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 ARNEILL RD STE B",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930106434",
"telephone_number": "805-383-4510",
"fax_number": "805-383-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIU",
"first_name": "PATRICK",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "HI",
"license": "MD 4738",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G86731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01348502",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM08609F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHIELD/HMSA",
"identifier": "D0014375",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "050394",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM18553H",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM08608F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT40394F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.