Evan V Sierras

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

65 Mitchell Blvd Suite 104
San Rafael, CA 94903

Phone

(415) 455-8481

NPI assigned

Feb 20, 2025

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

Practice roles

Locations

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.

• Integrated Community Services

  • Case Management Agency
  • San Rafael, CA
  • NPI 1730916370
  NPD

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1992501035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MITCHELL BLVD SUITE 104",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-455-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MITCHELL BLVD SUITE 104",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-455-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRAS",
        "first_name": "EVAN",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steffi Sibal
• Regina Siciliano, DPT
• Side by Side
• Agyapal Sidhu
• Paula Jean Siegel, MFT
• Daria Sievers, LCSW
• Alexander Sigal, P.T.
• Kelli Denise Chan Sigg, MD
• Francisco Siguenza, NP
• Rebecca Koski Siiteri, R.N., P.H.N., M.P.H.

• Case Manager/Care Coordinator in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.