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

Dr. Siamak P Etehad, MD

Individual provider Internal Medicine Physician · NPI 1184728479

Dr. Siamak P Etehad, MD is an Internal Medicine in Northridge, California. Qualified in 1980, 46 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
46
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

17075 Devonshire #100
Northridge, CA 91325
Phone: (818) 831-7767
Fax: (818) 831-3757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8727 Van Nuys Blvd Ste 101102, Van Nuys, CA 91402-2451 — (818) 812-5410

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A43714 (CA)

Record details

NPI number1184728479
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 8, 2006
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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