Elyasi, Siamak

Elyasi, Siamak is an individual health care provider with primary practice located at 2220 Gladstone Dr Suite 3, Pittsburg CA 94565-5123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Elyasi, Siamak can be contacted via phone (925) 779-9601.

Contact Information

Primary practice address
2220 Gladstone Dr Suite 3 Pittsburg CA 94565-5123
Fax: (925) 432-4590
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A50205 California

Profile Details

NPI number 1467407809
LBN Legal business name Elyasi, Siamak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Aug 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467407809 NPPES
California MEDICAID 00A502050

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