Organization Active NPI

Victor B. Siew, M.D., Inc

  • Internal Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1841594256
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G32104 Issued in CA
Legal business name
VICTOR B. SIEW, M.D., INC
Practice address
17220 Newhope St Ste 125
Fountain Valley, CA 92708-4283
Phone
(714) 435-0600
NPI assigned
Dec 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Dr. Victor B. Siew, M.D.
Title
President
Phone
(714) 435-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G32104 CA Primary

Addresses

Primary practice location

17220 Newhope St Ste 125
Fountain Valley, CA 92708-4283

Mailing address

17220 Newhope St Ste 125
Fountain Valley, CA 92708-4283
Phone (714) 435-0600

Other identifiers 1

IdentifierTypeStateIssuer
G32104MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1841594256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17220 NEWHOPE ST STE 125",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084283",
            "telephone_number": "714-435-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 NEWHOPE ST STE 125",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084283",
            "telephone_number": "714-435-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR B. SIEW, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "SIEW",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-435-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G32104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G32104",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.