KATHLEEN A SIU PROFESSIONAL CORPORATION (NPI# 1134518988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134518988 |
| Entity Type | Organization |
| Organization Name | KATHLEEN A SIU PROFESSIONAL CORPORATION |
| Practice Address |
23838 Valencia Blvd 300 Valencia CA 91355-5319 |
| Practice Telephone | 6612592960 |
| Practice Fax Number | 6612595983 |
| Mailing Telephone | 6612592960 |
| Mailing Fax Number | 6612595983 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |
| Authorized Official Name | DR. KATHLEEN A SIU (OWNER) |
| Authorized Official Telephone | 6612592960 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
28618 | CA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
29472 | CA | Dental Providers |
| Street Address |
23838 VALENCIA BLVD 300 |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-5319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588620363 | Atul Madan | Surgery | 23838 Valencia Blvd, Valencia, CA 91355-5319 | 2006-04-21 |
| 1770065963 | Michael Tuan Hoang | Dentist | 23838 Valencia Blvd, Valencia, CA 91355-5319 | 2018-09-04 |
| 1609244417 | Justin B. Heller,m.d., Inc | Plastic Surgery | 23838 Valencia Blvd, Suite 260, Valencia, CA 91355-5319 | 2015-09-10 |
| 1396186557 | Moshe Benarrochdmd A Dental Corporation | Dentist | 23838 Valencia Blvd, Suite 230, Valencia, CA 91355-5319 | 2013-07-16 |
| 1245570043 | Ilya Zak Dds Inc. | Dentist | 23838 Valencia Blvd, Suite 150, Valencia, CA 91355-5332 | 2013-02-15 |
| 1518258250 | Dewey D Pillai, Md, Inc | Family Medicine | 23838 Valencia Blvd, Suite 205, Valencia, CA 91355-5319 | 2011-04-28 |
| 1336440197 | Healthcare Partners Medical Group, P.C. | Health Maintenance Organization | 23838 Valencia Blvd, Suite 260, Valencia, CA 91355-5319 | 2010-11-10 |
| 1780907923 | Richard M. Abbott, M.a., M.f.t. A Marriage and Family Therapy Corporti | Marriage & Family Therapist | 23838 Valencia Blvd, Suite 220, Valencia, CA 91355-5319 | 2010-03-02 |
| 1316276942 | Ming-kong Chen | Obstetrics & Gynecology | 23838 Valencia Blvd, Suite 270, Valencia, CA 91355-5319 | 2009-12-10 |
| 1073783510 | Todd Schoenbaum | Dentist | 23838 Valencia Blvd, Suite #250, Valencia, CA 91355-5319 | 2008-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508372749 | Gilbert H. Snow Dds Inc | Dentist | 27421 Tourney Rd Ste 180, Valencia, CA 91355-5646 | 2017-12-26 |
| 1265957351 | Justin Christopher Berman | Dentist | 23838 Valencia Blvd Ste 300, Valencia, CA 91355-5334 | 2017-08-09 |
| 1437409356 | Drs. Triplett & Martin, A Dental Corporation | Dentist | 23969 Newhall Ranch Road, Valencia, CA 91355 | 2012-09-18 |
| 1063760965 | Ninus Ebrahimi | Dentist | 23969 Newhall Ranch Rd., Valencia, CA 91355 | 2012-08-27 |
| 1659430593 | Carla Abboud | Dentist | 23838 West Valencia Blvd Suite 300, Valencia, CA 91355 | 2006-12-06 |
| 1063591501 | Kathleen L Mulcahey | Dentist | 27885 Smyth Dr, Valencia, CA 91355-4011 | 2006-11-03 |
| 1750460309 | Laura Dawn Greenwald | Dentist | 25757 Leticia Dr, Valencia, CA 91355-2263 | 2006-11-03 |
| 1700961919 | Kathleen Anne Siu | Dentist | 23838 West Valencia Blvd, Suite 300, Valencia, CA 91355 | 2006-10-26 |
| 1902212293 | Robert G Stanislawski | Dentist | 25880 Tournament Road, Suite 216, Valencia, CA 91355 | 2014-07-07 |
| 1184745531 | Ezzat Dental Corporation | Dentist | 27450 Tourney Rd, Suite 200, Valencia, CA 91355 | 2007-04-03 |
| Find all providers in VALENCIA | ||||
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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.