DR. TINA SIU (NPI# 1013350602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013350602 |
| Entity Type | Individual |
| Full Name | DR. TINA SIU |
| Credential | DDS |
| Practice Address |
2595 Huntington Dr San Marino CA 91108-2235 |
| Practice Telephone | 6267960615 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
034421 | CA | Dental Providers |
| Street Address |
2595 HUNTINGTON DR |
| City | SAN MARINO |
| State | CA |
| Zip Code | 91108-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235781808 | Bhc Alhambra Hospital, Inc. | Psychiatric Residential Treatment Facility | 1925 Lombardy Road, San Marino, CA 91108 | 2019-07-12 |
| 1649764374 | Cristine Philina Ong | Registered Nurse | 2233 Huntington Dr Ste 12, San Marino, CA 91108 | 2018-06-16 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1649729831 | Harvey A Luu | Dentist | 1085 Winston Ave, San Marino, CA 91108 | 2016-09-28 |
| 1629438643 | Ellen Marie Tan | Marriage & Family Therapist | 1625 So. Chelsea Rd. Ellen M. Tan, Mft, San Marino, CA 91108 | 2016-03-03 |
| 1144696592 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 375 Huntington Dr. Ste. D, San Marino, CA 91108 | 2015-08-19 |
| 1386068237 | Dorothy Agnes Mcvann | General Practice | 764 Winston Ave., San Marino, CA 91108 | 2014-02-13 |
| 1215372040 | Doctors Choice Medical Group | Exclusive Provider Organization | 2295-a Huntington Drive, San Marino, CA 91108 | 2013-05-07 |
| 1831449222 | Apcn-aco, A Medical Professional Corp | Exclusive Provider Organization | 2360 Huntington Drive #201, C/o Mso, Inc. of Southern California, San Marino, CA 91108 | 2012-09-13 |
| 1538499777 | Elsa Busch | Psychologist | 1420 Ridgeway Rd, San Marino, CA 91108 | 2010-01-11 |
| Find all providers in zip 91108 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARINO |
| Zip Code | 91108 |
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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.