HAITHAM SIAG MBBCH
NPI 1023515830
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Q: What is Haitham Siag's NPI number?

The NPI number for Haitham Siag is 1023515830. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Q: What is Haitham Siag's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Haitham Siag was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2018PECOS Enrolled

11234 ANDERSON ST, LOMA LINDA, CA 92350(914) 267-6104 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Dec 29, 2021, Sep 13, 2019 and 2 more (5 updates tracked since 2018).

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About Haitham Siag Mbbch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAITHAM SIAG MBBCH (NPI 1023515830) is an individual student in an organized health care education/training program in Loma Linda, California, licensed in California (C208974) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023515830

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameHAITHAM SIAGCredential: MBBCH

Location Address11234 ANDERSON STLoma Linda, CA 92350-1716

Mailing Address11234 Anderson StLoma Linda, CA 92350-1716 · (914) 267-6104

Phone(914) 267-6104

Sole ProprietorNo

Enumeration DateApril 9, 2018

Last NPPES UpdateJuly 2, 20265 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1023515830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CA · C208974

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11234 ANDERSON ST, Loma Linda, CA 92350

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haitham Siag Mbbch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THUCAN TIMOTHY BUI DO

Emergency Medicine