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

Naomi Sianturi

Individual provider Registered Nurse · NPI 1083218903

Naomi Sianturi is a Nurse Practitioner in Long Beach, California. Qualified in 2024, 2 years ago. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1501 Hughes Way
Long Beach, CA 90810-1876
Phone: (310) 221-6336
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95030644 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95172275 (CA)

Record details

NPI number1083218903
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2020
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address1501 Hughes Way, Long Beach, CA 90810-1876

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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