NPIMap

Organization Active NPI

Dimitri Sirakoff, D.O., Inc.

  • Acupuncturist
  • Santa Ana, CA
National Provider Identifier
1679723654
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC3734 Issued in CA
Legal business name
DIMITRI SIRAKOFF, D.O., INC.
Practice address
1206 E 17TH Street
Suite 205
Santa Ana, CA 92701-2341
Phone
(714) 835-3500
Fax
(714) 835-4619
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Miss Marty Sillasen
Title
Office Manager
Phone
(714) 835-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC3734 CA Primary

Addresses

Primary practice location

1206 E 17TH Street
Suite 205
Santa Ana, CA 92701-2341

Mailing address

1206 E 17TH Street
Suite 205
Santa Ana, CA 92701-2341
Phone (714) 835-3500

Other names 1

  • Santa Ana Health Group and Medical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dimitri Sirakoff DO Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1206 E 17th St
Ste 205
Santa Ana, CA 92701
Phone (714) 835-3500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1679723654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E 17TH STREET",
            "address_2": "SUITE 205",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012341",
            "telephone_number": "714-835-3500",
            "fax_number": "714-835-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E 17TH STREET",
            "address_2": "SUITE 205",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012341",
            "telephone_number": "714-835-3500",
            "fax_number": "714-835-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRI SIRAKOFF, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "SILLASEN",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-835-3500",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Ana Health Group and Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.