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DIMITRI SIRAKOFF DO
NPI 1164467056
Family Medicine in Santa Ana, CA

Active since June 17, 2006PECOS Enrolled
1206 E 17TH ST, STE 204, SANTA ANA, CA 92701(714) 835-3500(714) 835-4619 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 13, 2026, Mar 7, 2023 (2 updates tracked since 2023).

About Dimitri Sirakoff Do NPPES

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

DIMITRI SIRAKOFF DO (NPI 1164467056) is an individual family medicine provider in Santa Ana, California, licensed in California (20A5552) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164467056
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDIMITRI SIRAKOFFCredential: DO
Location Address1206 E 17TH ST, STE 204Santa Ana, CA 92701-2641
Mailing Address1206 E 17th St, Ste 204Santa Ana, CA 92701-2641 · (714) 835-3500 · Fax (714) 835-4619
Phone(714) 835-3500
Fax(714) 835-4619
Sole ProprietorNo
Enumeration DateJune 17, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1164467056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A5552
Definition
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.
1206 E 17TH ST, Santa Ana, CA 92701
Open in Google Maps ↗

Other Identifiers 2

Other0SD0899486CA · Clia Id
Medicaid00AX55521CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dimitri Sirakoff Do 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.

Medicare Billing Reassignment

Medicare enrollment records show Dimitri Sirakoff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serve The People, Inc
Same address
Federally Qualified Health Center (FQHC)
1206 E 17TH STREET, SUITE 101
Santa Ana, CA 92701
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group
NPI 1770803462 (714) 352-2911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

CAROLL DEPAZ
Social Worker
1206 E 17TH ST
SANTA ANA, CA 92701
Orange County (714) 352-2911
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
Orange County (714) 210-8848
MARCO ANTONIO ANGULO M.D.
Family Medicine
1206 E 17TH ST, STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
GLORIA MARIA ZAPATA MSW
Social Worker (Clinical)
1206 E 17TH ST
SANTA ANA, CA 92701
Orange County (714) 352-2911
CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
Non-Pharmacy Dispensing Site
1206 E 17TH ST, STE 106
SANTA ANA, CA 92701
Orange County (714) 210-8848
MS. DEENA THUY LE PA-C
Physician Assistant (Medical)
1206 E 17TH ST
SANTA ANA, CA 92701
Orange County (714) 352-2911
LIANE C. BONDOC
Marriage & Family Therapist
1206 E 17TH ST
SANTA ANA, CA 92701
Orange County (714) 352-2911
DIMITRI SIRAKOFF, DO, INC
Non-Pharmacy Dispensing Site
1206 E 17TH ST, SUITE 204
SANTA ANA, CA 92701
Orange County (714) 835-3500

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 Dimitri Sirakoff's NPI number?

The NPI number for Dimitri Sirakoff is 1164467056. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Dimitri Sirakoff located?

Dimitri Sirakoff practices at 1206 E 17th St Ste 204, Santa Ana, CA 92701. The listed phone number is (714) 835-3500.

What is Dimitri Sirakoff's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dimitri Sirakoff enrolled in Medicare?

Yes. Dimitri Sirakoff is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dimitri Sirakoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dimitri Sirakoff reassigns Medicare benefits to Serve The People, Inc (Santa Ana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dimitri Sirakoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dimitri Sirakoff was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.