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

Dr. David J. Sire, MD

Individual provider Dermatology Physician · NPI 1710046628

Dr. David J. Sire, MD is a Dermatology in Fullerton, California. Qualified in 1967, 59 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
59
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 W Bastanchury Rd Ste 140
Fullerton, CA 92835
Phone: (714) 882-5525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A22972 (CA)

Record details

NPI number1710046628
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 6, 2006
Last updated in NPPESMay 14, 2018
Mailing address26935 Calle Dolores, Dana Point, CA 92624-1609

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1967 (59 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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