MS. NICOLE MARIE SIAO (NPI# 1205910007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205910007 |
| Entity Type | Individual |
| Full Name | MS. NICOLE MARIE SIAO |
| Credential | PA |
| Practice Address |
8745 Aero Dr Suite 200 San Diego CA 92123-1761 |
| Mailing Address |
Po Box 23540 San Diego CA 92193-3540 |
| Practice Telephone | 8585650950 |
| Practice Fax Number | 8582441100 |
| Mailing Telephone | 8585650950 |
| Mailing Fax Number | 8582441100 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 15802 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8745 AERO DR SUITE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689647331 | James W Lyon | Radiology | 8745 Aero Dr, Suite 200, San Diego, CA 92123-1761 | 2006-02-10 |
| 1083097968 | Regina Fagout | Marriage & Family Therapist | 8745 Aero Dr, Unit 107, San Diego, CA 92123-1761 | 2015-07-09 |
| 1376955187 | Erica Frances Serrano | Case Manager/Care Coordinator | 8745 Aero Dr, Suite 107, San Diego, CA 92123-1761 | 2014-05-28 |
| 1750660049 | Nhia Moua | Case Manager/Care Coordinator | 8745 Aero Dr, Suite 330, San Diego, CA 92123-1761 | 2011-08-04 |
| 1740595438 | Rosa I Gomez | Marriage & Family Therapist | 8745 Aero Dr, Unit 107, San Diego, CA 92123-1761 | 2010-08-18 |
| 1811216708 | Charles Mitchell | Radiology | 8745 Aero Dr, Suite 200, San Diego, CA 92123-1761 | 2010-05-18 |
| 1518294818 | Diana Truong | Case Manager/Care Coordinator | 8745 Aero Dr, Suite 330, San Diego, CA 92123-1761 | 2009-11-06 |
| 1518291921 | Gillien M Cheung | Counselor | 8745 Aero Dr, Suite 330, San Diego, CA 92123-1761 | 2009-10-01 |
| 1841404837 | Union of Pan Asian Communities | Community/Behavioral Health | 8745 Aero Dr, Ste. 330, San Diego, CA 92123-1761 | 2007-05-09 |
| 1760695761 | John Hamid Naheedy | Radiology | 8745 Aero Dr, Suite 200, San Diego, CA 92123-1761 | 2007-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528610870 | Josephine Hoa Ngoc Mai | Physician Assistant | 3050 Rue Dorleans Unit 291, San Diego, CA 92110-5904 | 2019-07-16 |
| 1962966309 | Tashina Jessica Kraintz | Physician Assistant | 10431 Caminito Alvarez, San Diego, CA 92126-5838 | 2019-01-30 |
| 1801314042 | Erika Dimitra Couris | Physician Assistant | 3969 Fourth Ave, #301, San Diego, CA 92103-9210 | 2017-09-08 |
| 1871859421 | Lisa Nakhleh Boyd | Physician Assistant | 2999 Health Center Drive, San Diego, CA 92123 | 2012-04-09 |
| 1760759104 | Brandon William Schroth | Physician Assistant | 357051 Nasni, Commander Naval Air Forces, San Diego, CA 92135-7051 | 2011-11-30 |
| 1891080750 | Jennifer K Nguyen | Physician Assistant | 1466 Mariposa Street, San Diego, CA 92114-3612 | 2011-06-17 |
| 1942510698 | Laurie Anne Reeves | Physician Assistant | 6367 Alvardo Ct., Suite #200, San Diego, CA 92120 | 2010-10-15 |
| 1568783108 | Monica Gable | Physician Assistant | 2929 Health Center Dr., San Diego, CA 92123-7741 | 2010-06-17 |
| 1932422698 | Debbie Lo Flores | Physician Assistant | 5030 Camino De La Siesta Ste 204, San Diego, CA 92108-3118 | 2010-03-10 |
| 1801125034 | Lindsey R Hayes | Physician Assistant | Quentin Roosevelt Blvd, Building 8, San Diego, CA 92135-7051 | 2009-12-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.