Active NPI
Michael Siegel, M.D.
- Neurology Physician
- San Mateo, CA
National Provider Identifier
1699794115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G54866
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | 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.
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1679642326
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1780753434
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1831268580
-
- Community/Behavioral Health Agency
- Redwood City, CA
- NPI 1528432481
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1841369592
-
- Clinic/Center
- San Mateo, CA
- NPI 1942226014
-
- Non-Pharmacy Dispensing Site
- Santa Cruz, CA
- NPI 1114182649
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.