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DR. SIMIN POUR EMAM ALI SIAVAN MAHALEH MD, MPH
NPI 1114776481
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since May 17, 2024PECOS Enrolled
675 18TH ST, SAN FRANCISCO, CA 94143(415) 476-7000 Get Directions Write a Review

NPPES record last updated: May 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Simin Pour Emam Ali Siavan Mahaleh Md, Mph NPPES

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

DR. SIMIN POUR EMAM ALI SIAVAN MAHALEH MD, MPH (NPI 1114776481) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1114776481
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SIMIN POUR EMAM ALI SIAVAN MAHALEHCredential: MD, MPH
Location Address675 18TH STSan Francisco, CA 94143-4200
Mailing Address675 18th StSan Francisco, CA 94143-4200 · (646) 787-6992
Phone(415) 476-7000
Sole ProprietorNo
Enumeration DateMay 17, 2024
Last NPPES UpdateMay 25, 2024
NPPES CertifiedMay 25, 2024
✔ NPI 1114776481 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
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.
675 18TH ST, San Francisco, CA 94143
Open in Google Maps ↗

Secondary Practice Location 1

Location 16313 Orange StLos Angeles, CA 90048-4816 · Phone (646) 787-6992

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Simin Pour Emam Ali Siavan Mahaleh Md, Mph 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.

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.

CAROLINE CHIU
Student in an Organized Health Care Education/Training Program
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7000
TIFFANY ROXANA GHADIMI MD
Psychiatry & Neurology (Psychiatry)
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7527
DR. TAE UN KIM DO
Psychiatry & Neurology (Psychiatry)
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7000
MR. DAMON JOHNSON LCSW
Social Worker
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7000
ELIZABETH CADY SMITH MD
Psychiatry & Neurology (Psychiatry)
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7527
SARAH DOLAN
Student in an Organized Health Care Education/Training Program
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (628) 588-6399
ERIN ELIZABETH REILLY PHD
Psychologist (Clinical Child & Adolescent)
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 514-6869
RACHEL N. NIEZRECKI MD
Psychiatry & Neurology (Psychiatry)
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simin Pour Emam Ali Siavan Mahaleh's NPI number?

The NPI number for Simin Pour Emam Ali Siavan Mahaleh is 1114776481. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Where is Simin Pour Emam Ali Siavan Mahaleh located?

Simin Pour Emam Ali Siavan Mahaleh practices at 675 18th St, San Francisco, CA 94143. The listed phone number is (415) 476-7000.

What is Simin Pour Emam Ali Siavan Mahaleh's specialty?

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

Is Simin Pour Emam Ali Siavan Mahaleh enrolled in Medicare?

Yes. Simin Pour Emam Ali Siavan Mahaleh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Simin Pour Emam Ali Siavan Mahaleh was last updated on May 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.