Anita Sitorus, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

702745 Issued in CA

Practice address

25590 Prospect Ave Apt 50B
Loma Linda, CA 92354-3157

Phone

(909) 894-3370

Fax

(909) 894-3370

NPI assigned

Feb 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1962901900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25590 PROSPECT AVE APT 50B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543157",
            "telephone_number": "909-894-3370",
            "fax_number": "909-894-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25590 PROSPECT AVE APT 50B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543157",
            "telephone_number": "909-894-3370",
            "fax_number": "909-894-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITORUS",
        "first_name": "ANITA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "702745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "702745",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Sirabonian
• Jennifer Koli Sircar
• Edwin Siregar
• Francis Sirna, P.A.
• Alvin Sitompul, D.D.S.
• Evie Siregar Sitorus, RN
• Joshua Siu, DO
• Sharmayne Tammie Siu
• Ambika Sivanandam, MD
• Gurjit Singh Sivia, M.D.

• Home Health Registered Nurse in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.