Philip Samuel Siegel, M.D.

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

C36485 Issued in CA

Practice address

3250 Meadowview Rd
Sacramento, CA 95832-1437

Phone

(916) 262-2020

Fax

(916) 262-2031

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790761567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 GARY WAY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956085960",
            "telephone_number": "916-488-5193",
            "fax_number": "916-262-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 MEADOWVIEW RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958321437",
            "telephone_number": "916-262-2020",
            "fax_number": "916-262-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "PHILIP",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "CA",
            "license": "C36485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Siefkes, MD
• Allan Douglas Siefkin, MD
• Bary J Siegel, MD
• Gabriella Dula Siegel
• Nancy Evelyn Siegel, FNP
• Samantha Blair Siegel, M.D.
• Nora Elyse Siegler
• Aaron Siegman
• Rodger A. Siemens, MD
• Connie Haynie Sieracki, AUD

• Military Health Care Provider in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Military Health Care Provider in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.