Provider Demographics
NPI:1235131301
Name:SEMION, ALAN A (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:A
Last Name:SEMION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 SUNRISE AVE
Mailing Address - Street 2:#700
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4565
Mailing Address - Country:US
Mailing Address - Phone:916-782-7546
Mailing Address - Fax:916-782-1596
Practice Address - Street 1:729 SUNRISE AVE
Practice Address - Street 2:#700
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4565
Practice Address - Country:US
Practice Address - Phone:916-782-7546
Practice Address - Fax:916-782-1596
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC31538174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C315380Medicaid
CA00C315380Medicaid
00C315380Medicare ID - Type Unspecified