Active NPI
Fredrick Dapaah-Siakwan, MD
- Neonatal-Perinatal Medicine Physician
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- A152930
- Practice address
- 235 S Palisade Dr
Santa Maria, CA 93454 - Phone
- (805) 739-3561
- NPI assigned
- Jul 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A152930 | CA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | A152930 | CA | Primary |
Addresses
Primary practice location
235 S Palisade Dr
Santa Maria, CA 93454
Mailing address
235 S Palisade Dr
Santa Maria, CA 93454-5948
Phone (805) 739-3561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201005000129 | CA | Practitioner - Pediatric Medicine | 0749609105 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Valley Children'S Medical Group | Pediatrics | Current | Accepting new patients |
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Valley Children'S Hospital | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700
9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700
9300 Valley Childrens Pl
#21
Madera, CA 93636
Phone (559) 353-6400
9300 Valley Childrens Pl
Ste SC5
Madera, CA 93636
1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880
235 S Palisade Dr
Santa Maria, CA 93454
Phone (805) 739-3561
1400 E Church St
Bldg 8
Santa Maria, CA 93454
Phone (800) 739-3561
1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514
1400 E Church St
Ofc
Santa Maria, CA 93454
Phone (805) 739-3112
Interoperability endpoints
- fdapaahsiakwan15815@valleychildrens-prd.direct-ci.com
- fdapaahsiakwan796010@direct.memorialcare.org
Organizations & group practices 5
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.
-
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1063496651
CA
-
- Community Health Clinic/Center
- Arroyo Grande, CA
- NPI 1831764117
-
- Community Health Clinic/Center
- Nipomo, CA
- NPI 1417555061
-
- Children's Hospital
- Madera, CA
- NPI 1952312043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1811252182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 S PALISADE DR",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545948",
"telephone_number": "805-739-3561",
"fax_number": "805-739-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 S PALISADE DR",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93454",
"telephone_number": "805-739-3561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAPAAH-SIAKWAN",
"first_name": "FREDRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A152930",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "A152930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.