Active NPI
Birgit Siekerkotte, M.D.
- Family Medicine Physician
- Torrance, CA
National Provider Identifier
1740285782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A46265
- Practice address
- 19601 Mariner Ave
Torrance, CA 90503-1647 - Phone
- (310) 354-4200
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A46265 | CA | Primary |
Addresses
Primary practice location
19601 Mariner Ave
Torrance, CA 90503-1647
Mailing address
19601 Mariner Ave
Torrance, CA 90503
Phone (310) 354-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A462650 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Family Medicine | Past | Accepting new patients |
| Lakeside Medical Associates, a Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| Lakeside Medical Organization, a Medical Group Inc. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
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Family Medicine
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- Glendale, CA
- NPI 1932129434
Family Medicine
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1831426642
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1740285782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19601 MARINER AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90503",
"telephone_number": "310-354-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19601 MARINER AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905031647",
"telephone_number": "310-354-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEKERKOTTE",
"first_name": "BIRGIT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A46265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A462650",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.