DIMITRI SIRAKOFF (NPI# 1164467056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164467056 |
| Entity Type | Individual |
| Full Name | DIMITRI SIRAKOFF |
| Credential | DO |
| Practice Address |
1206 E 17th St Ste 204 Santa Ana CA 92701-2641 |
| Practice Telephone | 7148353500 |
| Practice Fax Number | 7148354619 |
| Mailing Telephone | 7148353500 |
| Mailing Fax Number | 7148354619 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A5552 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | BS1435937 | 01 |
| CA | CLIA ID | 0SD0899486 | 01 |
| CA | 00AX55521 | 05 |
| Street Address |
1206 E 17TH ST STE 204 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1568773562 | Dimitri Sirakoff, Do, Inc | Non-Pharmacy Dispensing Site | 1206 E 17th St, Suite 204, Santa Ana, CA 92701-2641 | 2010-06-24 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822360 | Saint Youstina | Family Medicine | 809 S Main St Apt A, Santa Ana, CA 92701-6605 | 2019-10-15 |
| 1063927697 | Healthrive Medical Group | Family Medicine | 201 Sandpointe Ave Ste 600, Santa Ana, CA 92707-8700 | 2017-12-05 |
| 1093248510 | Ravi Prakash Bhakta | Family Medicine | 901 W Civic Center Dr Ste 120, Santa Ana, CA 92703-2380 | 2017-04-11 |
| 1770944019 | Alonzo Ellis Lockhart | Family Medicine | 1329 E. First Street, Santa Ana, CA 92701-6310 | 2016-03-15 |
| 1982002598 | Quang Binh Nguyen | Family Medicine | 202 N Euclid St Ste 103, Santa Ana, CA 92703-3006 | 2014-12-12 |
| 1598165201 | Bristol Plaza Family Medicine, A Professional Medical Corporation | Family Medicine | 3743 So Plaza Drive, Santa Ana, CA 92704 | 2014-08-29 |
| 1649614827 | Monica J. Ball-zondervan | Family Medicine | 1100b N Tustin Ave Ste A, Santa Ana, CA 92705 | 2013-04-18 |
| 1114269404 | Universa Medica Healh,inc | Family Medicine | 1125 E 17th St Ste 106, Santa Ana, CA 92701-2201 | 2013-03-25 |
| 1083962872 | Souhail N/a Toubia | Family Medicine | 2141 S Standard Ave, Santa Ana, CA 92707-3034 | 2012-08-27 |
| 1770852659 | Teresa Flores | Family Medicine | 1014 N Broadway, Santa Ana, CA 92701-3408 | 2011-12-21 |
| 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.