SIQI MA DO
NPI 1659991933
Family Medicine in Clearlake, CA

Active since April 16, 2020PECOS EnrolledAccepts Medicare Assignment
15230 LAKESHORE DR, CLEARLAKE, CA 95422(707) 995-4500 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 20, 2023, Apr 12, 2022, Apr 16, 2020 (3 updates tracked since 2020).

About Siqi Ma Do NPPES

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

SIQI MA DO (NPI 1659991933) is an individual family medicine provider in Clearlake, California, licensed in California (20A21190) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659991933
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSIQI MACredential: DO
Location Address15230 LAKESHORE DRClearlake, CA 95422-8107
Mailing Address15230 Lakeshore DrClearlake, CA 95422-8107
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 16, 2020
Last NPPES UpdateOctober 20, 20233 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
NPI 1659991933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · 20A21190 Licensed in OK · 7451
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.
15230 LAKESHORE DR, Clearlake, CA 95422

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Siqi Ma Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315392024
PECOS Enrollment IDI20231016003365
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95422 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 20

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

Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Licensed Vocational Nurse
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Pharmacy (Long Term Care Pharmacy)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Psychiatry & Neurology (Neurology)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Pediatrics
15230 LAKESHORE DR
CLEARLAKE, CA 95422

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 Siqi Ma's NPI number?

The NPI number for Siqi Ma is 1659991933. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Siqi Ma located?

Siqi Ma practices at 15230 Lakeshore Dr, Clearlake, CA 95422. The listed phone number is (707) 995-4500.

What is Siqi Ma's specialty?

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

Is Siqi Ma enrolled in Medicare?

Yes. Siqi Ma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Siqi Ma was last updated on October 20, 2023. 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.