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NPI Code Detail

MEDICARE: SIYAN CARE CORPORATION

MEDICARE: SIYAN CARE CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1588323869
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIYAN CARE CORPORATION
Provider Business Mailing Address
First Line : 480 TESCONI CIR STE B
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4691
Country : US
Telephone Number : 707-206-7268
Fax Number :
Provider Business Practice Location Address
First Line : 480 TESCONI CIR STE A
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4691
Country : US
Telephone Number : 707-206-7268
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ANISH SHAH
Credential :
Telephone Number : 707-206-7268
Provider Enumeration Date : 12/14/2021
Last Update Date : 12/19/2025

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1992970586 — MS. SANDRA LOUISE GARCIA LMFT
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Directions to “SIYAN CARE CORPORATION ” Practice Location

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