Individual provider Active NPI

Michael Siegel, M.D.

  • Neurology Physician
  • San Mateo, CA
National Provider Identifier
1699794115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G54866 Issued in CA
Practice address
101 N El Camino Real
Suite 5
San Mateo, CA 94401-2700
Phone
(650) 342-7604
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G54866 CA Primary

Addresses

Primary practice location

101 N El Camino Real
Suite 5
San Mateo, CA 94401-2700

Mailing address

101 N El Camino Real
Suite 5
San Mateo, CA 94401-2700

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000032 CA Practitioner - Neurology 2769514819 Reassigns benefits to 3 organizations
Practice locations: San Mateo, CA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Jul 1, 2018 Accepting new patients
County of San Mateo CurrentSince Jan 15, 2011 Accepting new patients
County of San Mateo Current Accepting new patients
County of San Mateo CurrentSince Jan 15, 2011 Accepting new patients
County of San Mateo CurrentSince Jul 1, 2018 Accepting new patients
Palo Alto Medical Foundation Past Accepting new patients
Sutter East Bay Medical Foundation Neurology Past Accepting new patients
County of San Mateo Past Accepting new patients

Locations

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

222 W 39th Ave
#316
San Mateo, CA 94403
Phone (415) 573-2222

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699794115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N EL CAMINO REAL",
            "address_2": "SUITE 5",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N EL CAMINO REAL",
            "address_2": "SUITE 5",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012700",
            "telephone_number": "650-342-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G54866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.