Active NPI
Seir Siddiq
- Technician/Technologist
- Fremont, CA
National Provider Identifier
1730831462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- Practice address
- 3106 Isherwood Way
Fremont, CA 94536-3527 - Phone
- (510) 896-0006
- NPI assigned
- Jan 24, 2022
- Last updated
- Jan 24, 2022
- 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 |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | Primary |
Addresses
Primary practice location
3106 Isherwood Way
Fremont, CA 94536-3527
Mailing address
3106 Isherwood Way
Fremont, CA 94536-3527
Phone (510) 896-0006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000 | Other | CA | NOT AWARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Nor-cal.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1730831462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3106 ISHERWOOD WAY",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363527",
"telephone_number": "510-896-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3106 ISHERWOOD WAY",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363527",
"telephone_number": "510-896-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQ",
"first_name": "SEIR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT AWARE",
"identifier": "000",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Nor-cal.com",
"affiliation": "N",
"address_1": "3106 Isherwood way",
"city": "Fremont",
"state": "CA",
"country_code": "US",
"postal_code": "94536",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.