Siuman Fan DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36241 Issued in CA

Legal business name

SIUMAN FAN DDS INC.

Practice address

2020 Camino del Rio N
101
San Diego, CA 92108-1541

Phone

(619) 692-4310

NPI assigned

Oct 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Siuman Fan, DDSNPI 1811070295

Title

President

Phone

(619) 692-4310

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Siuman Fan, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1811070295
  NPD (past) Authorized official

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

{
    "created_epoch": "1191628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191628800000",
    "number": "1689862484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CAMINO DEL RIO N",
            "address_2": "101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081541",
            "telephone_number": "619-692-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CAMINO DEL RIO N",
            "address_2": "101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081541",
            "telephone_number": "619-692-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIUMAN FAN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-06",
        "last_updated": "2007-10-06",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "SIUMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-692-4310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1811070295",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chun Hang Siu
• Eric Siu, D.C.
• Sharon May Siu
• Solomon Siu
• Wing Yin Siu
• Mamata Sivagnanam, MD
• Delini Sivakumar, MD
• Gowri Sivaraman, M.D.
• Dmitriy Sivtsov, MD
• Karla Estrella Sixtos Garcia, RBT

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2007; 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.