Alysa-Marie C Sia, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95014053 Issued in CA

Practice address

2001 Santa Monica Blvd Ste 280W
Santa Monica, CA 90404-2172

Phone

(310) 829-7678

NPI assigned

Feb 28, 2020

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

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Providence Saint Johns Medical Foundation

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1518438712
  NPD
• Providence Saint Johns Medical Foundation

  • Specialist
  • Santa Monica, CA
  • NPI 1770093734
  NPD

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1780218669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 280W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042172",
            "telephone_number": "310-829-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 280W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042172",
            "telephone_number": "310-829-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIA",
        "first_name": "ALYSA-MARIE",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "426 S Manhattan Pl Apt 300",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900204185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "426 S Manhattan Pl Apt 300",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900204185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "426 S Manhattan Pl Apt 300",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900204185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asia1210172@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2001 Santa Monica Blvd Ste 280W",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Shulenberger, LMFT
• Isabelle Shuman, L.AC.
• Annica M Shumny, PA-C
• Julie Shvarts, M.S., CCC-SLP
• William Shyy, M.D.
• Suzanne Sickner
• Stephen I Sideroff, PH.D.
• Sidney Yadidi Chiropractic
• Daniel J Siegel, M.D.
• Seth Siegel

• Family Nurse Practitioner in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.

Verify at the official NPI Registry.