DIMITRI SIRAKOFF, DO, INC (NPI# 1568773562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568773562 |
| Entity Type | Organization |
| Organization Name | DIMITRI SIRAKOFF, DO, INC |
| Practice Address |
1206 E 17th St Suite 204 Santa Ana CA 92701-2641 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 7148353500 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2011-03-01 |
| Authorized Official Name | DIMITRI SIRAKOFF (PRESIDENT) |
| Authorized Official Telephone | 7148353500 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | DIMITRI SIRAKOFF, DO, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
1206 E 17TH ST SUITE 204 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164467056 | Dimitri Sirakoff | Family Medicine | 1206 E 17th St, Ste 204, Santa Ana, CA 92701-2641 | 2006-06-17 |
| 1851903694 | Karen Andrea Flores Rojas | Social Worker | 1206 E 17th St, Santa Ana, CA 92701-2641 | 2020-08-22 |
| 1235404682 | Stuart L Zubrick Marriage Family and Child Counseling, A Prof Corp | Non-Pharmacy Dispensing Site | 1206 E 17th St, Ste 106, Santa Ana, CA 92701-2641 | 2012-03-19 |
| 1386935716 | Champion Medical Group, A Medical Corporation | Non-Pharmacy Dispensing Site | 1206 E 17th St, Ste 106, Santa Ana, CA 92701-2641 | 2011-04-19 |
| 1346530342 | Marco Antonio Angulo | Family Medicine | 1206 E 17th St, Ste 101, Santa Ana, CA 92701-2641 | 2011-04-11 |
| 1811216963 | Takako Nishimoto | Physical Therapist | 1206 E 17th St, Suite 204, Santa Ana, CA 92701-2641 | 2010-05-27 |
| 1780818971 | Yousif Jawad | Physician Assistant | 1206 E 17th St, Suite 204, Santa Ana, CA 92701-2641 | 2009-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467975284 | Spartamed | Non-Pharmacy Dispensing Site | 1511 W Alton Ave, Santa Ana, CA 92704-7219 | 2017-07-24 |
| 1265811434 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 1440 E 1st St, Suite 100, Santa Ana, CA 92701-6384 | 2015-05-21 |
| 1427462340 | Daniel Capen, M.d., A Professional Corporation | Non-Pharmacy Dispensing Site | 710 S Harbor Blvd, Santa Ana, CA 92704-2337 | 2014-06-18 |
| 1205240322 | Arj Medical, Inc. | Non-Pharmacy Dispensing Site | 999 N Tustin Ave, Suite 201, Santa Ana, CA 92705-3528 | 2014-06-17 |
| 1184044141 | Nonsurgical Medical Group Inc | Non-Pharmacy Dispensing Site | 3801 S Harbor Blvd, Suite B, Santa Ana, CA 92704-7901 | 2014-04-17 |
| 1285974071 | John G. Alevizos Do, Inc. | Non-Pharmacy Dispensing Site | 800 N Tustin Ave, Suite A, Santa Ana, CA 92705-3605 | 2013-02-15 |
| 1013264043 | Clinical Buena Salud, Inc. | Non-Pharmacy Dispensing Site | 520 W 17th St, 1, Santa Ana, CA 92706-3614 | 2012-08-09 |
| 1235404682 | Stuart L Zubrick Marriage Family and Child Counseling, A Prof Corp | Non-Pharmacy Dispensing Site | 1206 E 17th St, Ste 106, Santa Ana, CA 92701-2641 | 2012-03-19 |
| 1386935716 | Champion Medical Group, A Medical Corporation | Non-Pharmacy Dispensing Site | 1206 E 17th St, Ste 106, Santa Ana, CA 92701-2641 | 2011-04-19 |
| 1578605135 | Memorialcare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 1212 W 17th St, Santa Ana, CA 92706-3418 | 2007-02-12 |
| Find all providers in SANTA ANA | ||||
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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.