Dimitri Sirakoff, DO | |
1206 E 17th St, Ste 204, Santa Ana, CA 92701-2641 | |
(714) 835-3500 | |
(714) 835-4619 |
Full Name | Dimitri Sirakoff |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1206 E 17th St, Santa Ana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164467056 | NPI | - | NPPES |
0SD0899486 | Other | CA | CLIA ID |
00AX55521 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A5552 (California) | Primary |
Entity Name | Serve The People Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770803462 PECOS PAC ID: 4880872795 Enrollment ID: O20110623000740 |
Mailing Address | Practice Location Address |
---|---|
Dimitri Sirakoff, DO 1206 E 17th St, Ste 204, Santa Ana, CA 92701-2641 Ph: (714) 835-3500 | Dimitri Sirakoff, DO 1206 E 17th St, Ste 204, Santa Ana, CA 92701-2641 Ph: (714) 835-3500 |
Dr. Rhett Mark Bartolome, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 E 4th St, Santa Ana, CA 92705 Phone: 714-967-4675 | |
Antonio Carbayo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1911 N Broadway, Santa Ana, CA 92706 Phone: 714-667-6900 Fax: 714-667-6116 | |
Dr. Darrel E Hopkins, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 N. Tustin Ave, Suite 200, Santa Ana, CA 92705 Phone: 714-689-9061 Fax: 714-689-9064 | |
Dr. Luis Manuel Sandoval, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1900 E 4th St, 2nd Floor, Santa Ana, CA 92705 Phone: 714-223-4589 Fax: 714-967-4575 | |
Dr. Judith Miriam Friedland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1725 W 17th St, Santa Ana, CA 92706 Phone: 714-834-8017 | |
Michael Davis, Family Medicine Medicare: Medicare Enrolled Practice Location: 2720 S Bristol St Ste 110, Santa Ana, CA 92704 Phone: 888-499-9303 | |
Dr. Pat T Kouwabunpat, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1610 W Edinger Ave, Suite B, Santa Ana, CA 92704 Phone: 714-641-1610 Fax: 714-641-1146 |