Organization Active NPI

Dwight W Sievert MD Inc

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1972509214
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G47593 Issued in CA
Legal business name
DWIGHT W SIEVERT MD INC
Practice address
7766 N Palm Ave Ste 107
Fresno, CA 93711-5734
Phone
(559) 435-0800
Fax
(559) 435-7720
NPI assigned
Jun 22, 2005
Last updated
Jan 17, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DWIGHT W SIEVERT MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Ms. Syuzanna Torosian
Title
Administrator
Phone
(559) 435-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X G47593 CA Primary

Addresses

Primary practice location

7766 N Palm Ave Ste 107
Fresno, CA 93711-5734

Mailing address

7766 N Palm Ave Ste 107
Fresno, CA 93711-5734
Phone (559) 435-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050310000931 CA Part B Supplier - Clinic/Group Practice 1052365103 Receives reassigned benefits from 4 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory
Part of
Dwight W Sievert MD Inc

Locations

7131 N 11th St
Ste 104
Fresno, CA 93720
Phone (559) 435-0800

7766 N Palm Ave
Ste 107
Fresno, CA 93711
Phone (559) 435-0800

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1972509214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7766 N PALM AVE STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115734",
            "telephone_number": "559-435-0800",
            "fax_number": "559-435-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 N PALM AVE STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115734",
            "telephone_number": "559-435-0800",
            "fax_number": "559-435-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT W SIEVERT MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DWIGHT W SIEVERT MD INC",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "TOROSIAN",
        "authorized_official_first_name": "SYUZANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-435-0800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G47593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.