Healthcare Provider Details

I. General information

NPI: 1730098799
Provider Name (Legal Business Name): SIVALINGAM MEDICAL CORPORATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 W AVENUE Q STE B
PALMDALE CA
93551-3889
US

IV. Provider business mailing address

44725 10TH ST W STE 170
LANCASTER CA
93534-3000
US

V. Phone/Fax

Practice location:
  • Phone: 661-273-2556
  • Fax: 661-267-4847
Mailing address:
  • Phone: 661-726-3724
  • Fax: 661-726-3770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: JAIMIE RAMIREZ
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 661-726-3739