Gina Maria Sirimarco, CADCII,

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A8378501 Issued in CA

Practice address

5887 Brockton Ave Ste a
Riverside, CA 92506-1858

Phone

(951) 275-8500

Fax

(951) 275-8560

NPI assigned

Jun 19, 2012

Last updated

Jun 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1730442328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5887 BROCKTON AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061858",
            "telephone_number": "951-275-8500",
            "fax_number": "951-275-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5887 BROCKTON AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061858",
            "telephone_number": "951-275-8500",
            "fax_number": "951-275-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIMARCO",
        "first_name": "GINA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "CADCII,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A8378501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "95-3551936",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BJ Singleton
• Ashish C Sinha, MD
• Mallavi Shanker Sinha
• Sachchida N. Sinha, M.D.
• Elaine P Sio
• Sirisansh LLC (Parke Vista Pharmacy)
• Shern Sirisuk, DO
• Brian Sirko
• Robert I Sirotnik, D.D.S.
• Clarence A Sisnett Jr., PHARMD

• Addiction (Substance Use Disorder) Counselor in Riverside, CA
• Providers in Riverside, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.