SIP DC CA, INC
NPI 1588056014
Family Medicine - Geriatric Medicine in Costa Mesa, CA

Q: What is Sip Dc Ca, Inc's NPI number?

The NPI number for Sip Dc Ca, Inc is 1588056014. It was assigned to this organization in the NPPES registry on February 20, 2015. The provider was formerly known as Md24 Ca Inc.

Q: What is Sip Dc Ca, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Sip Dc Ca, Inc was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 20, 2015

600 ANTON BLVD STE 1100, COSTA MESA, CA 92626(800) 388-3906 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2021, Mar 9, 2021, Feb 26, 2021 and 3 more (6 updates tracked since 2019).

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About Sip Dc Ca, Inc NPPES

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

SIP DC CA, INC (NPI 1588056014), doing business as Md24 Ca Inc, is a healthcare organization registered as a geriatric medicine in Costa Mesa, California and active in the NPI registry since February 2015. The organization maintains a secondary practice location in San Jose and lists Glenn Fortich, Revenue Cycle Management Director, as its authorized official.

NPPES Registry Identity

NPI1588056014

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameSIP DC CA, INC

Location Address600 ANTON BLVD STE 1100Costa Mesa, CA 92626-7100

Mailing Address600 Anton Blvd Ste 1100Costa Mesa, CA 92626-7100 · (800) 388-3906

Phone(800) 388-3906

Organization SubpartNo

Authorized OfficialGlenn FortichRevenue Cycle Management Director · (626) 893-9730

Enumeration DateFebruary 20, 2015

Last NPPES UpdateMay 25, 20216 updates tracked since enumeration

NPPES CertifiedMay 25, 2021

✔ NPI 1588056014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X

600 ANTON BLVD STE 1100, Costa Mesa, CA 92626

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Other Names 1

Former Legal Business NameMd24 Ca Inc

Secondary Practice Location 1

Location 1175 N Jackson Ave Ste 101San Jose, CA 95116-1909 · Phone (623) 374-7774

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

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