NPIMap

Individual provider Active NPI

Armando F Siqueiros, MD

  • Internal Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1699758540
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G71396 Issued in CA
Practice address
842 California Blvd
San Luis Obispo, CA 93401-2902
Phone
(805) 549-5277
Fax
(805) 549-5293
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G71396 CA Primary

Addresses

Primary practice location

842 California Blvd
San Luis Obispo, CA 93401-2902

Mailing address

842 California Blvd
San Luis Obispo, CA 93401-2902
Phone (805) 549-5277

Other identifiers 3

IdentifierTypeStateIssuer
00G713960OtherCABLUE SHIELD
FT927ZOtherCAMEDICARE ID
00G713960MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031107000720 CA Practitioner - Internal Medicine 3274446174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Irvine, California College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

842 California Blvd
San Luis Obispo, CA 93401-2902
Phone (805) 549-5277

Hospital & facility affiliations

  • Dignity Health Home Health Home health agency, Santa Maria, CA, CCN 557038
  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71396CAMDPharmacist
G71396CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Armando F. Siqueiros, M.D., Inc. Internal Medicine CurrentSince May 31, 2023 Accepting new patients
Armando Siqueiros MD Inc Internal Medicine PastSince Dec 6, 1996 Accepting new patients
Dignity Community Care Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Central Coast Chest Consultants a Medical Corporation Internal Medicine PastSince Jul 10, 2022 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

842 California Blvd
Sn Luis Obisp, CA 93401
Phone (805) 541-3800

Interoperability endpoints

  • Direct secure messaging: armando.siqueiros.1@29086.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1699758540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 CALIFORNIA BLVD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012902",
            "telephone_number": "805-549-5277",
            "fax_number": "805-549-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 CALIFORNIA BLVD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012902",
            "telephone_number": "805-549-5277",
            "fax_number": "805-549-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIQUEIROS",
        "first_name": "ARMANDO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G71396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G713960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "FT927Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G713960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.