Sip DC Ca, Inc
NPI 1588056014 · Geriatric Medicine (Family Medicine) Physician · Costa Mesa, CA
Sip DC Ca, Inc is a Geriatric Medicine (Family Medicine) Physician organization in Costa Mesa, CA (NPI 1588056014).
Provider details
- NPI number
- 1588056014
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Glenn Fortich, Revenue Cycle Management Director(626) 893-9730
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- MD24 Ca Inc
- Former legal business name
- MD24 Ca Inc
Additional practice locations (1)
- 175 N Jackson Ave Ste 101San Jose, CA 95116-1909Phone: (623) 374-7774
Registry dates
- Enumerated
- 2015-02-20
- Last updated
- 2021-05-25
- Certified
- 2021-05-25
Frequently asked questions
- What is Sip DC Ca, Inc's NPI number?
- Sip DC Ca, Inc's National Provider Identifier (NPI) is 1588056014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sip DC Ca, Inc?
- Sip DC Ca, Inc is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Sip DC Ca, Inc located?
- Sip DC Ca, Inc's practice location on file with NPPES is 600 Anton Blvd Ste 1100, Costa Mesa, CA 92626-7100.
- What is Sip DC Ca, Inc's phone number?
- The practice phone number listed in the NPPES registry for Sip DC Ca, Inc is (800) 388-3906.
- Who is the authorized official for Sip DC Ca, Inc?
- The authorized official listed on Sip DC Ca, Inc's NPPES record is Glenn Fortich, Revenue Cycle Management Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sip DC Ca, Inc's NPI active?
- Yes — Sip DC Ca, Inc's NPI (1588056014) is active in the NPPES registry as of the last update on 2021-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.