Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christine Nurien Siregar

Individual provider Primary Care Nurse Practitioner · NPI 1578031308

Christine Nurien Siregar is a Nurse Practitioner in Los Angeles, California. Qualified in 2017, 9 years ago. Practices with UCLA Associated General Surgeons, a 46-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

100 UCLA Medical Plz Ste 310
Los Angeles, CA 90024-6999
Phone: (310) 206-0585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95009758 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95009758 (CA)

Record details

NPI number1578031308
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 9, 2018
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ucla Associated General Surgeons — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Los Angeles