Provider Demographics
NPI:1275561060
Name:HELLIWELL, SINIVA LYNNE (MD)
Entity Type:Individual
Prefix:MRS
First Name:SINIVA
Middle Name:LYNNE
Last Name:HELLIWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SINIVA
Other - Middle Name:LYNNE
Other - Last Name:KANEEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8501 BRIMHALL RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2254
Mailing Address - Country:US
Mailing Address - Phone:661-410-2942
Mailing Address - Fax:661-410-0135
Practice Address - Street 1:8501 BRIMHALL RD STE 300
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2254
Practice Address - Country:US
Practice Address - Phone:661-410-2942
Practice Address - Fax:661-410-0135
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA82543207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A825430Medicaid