Mr. Edward N. Sianipar, NP
Mr. Edward N. Sianipar, NP is a Nurse Practitioner in Apple Valley, California. Qualified in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 15
- Licensed in
- CA
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
19059 Bear Valley Rd #1Apple Valley, CA 92308-2716
Phone: (760) 515-5000
Fax: (760) 240-3848
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence NP21409 (CA) |
|---|---|
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 21409 (CA) |
Record details
| NPI number | 1225305618 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NP |
| Sole proprietor | No |
| NPI enumerated | November 29, 2011 |
| Last updated in NPPES | October 25, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |