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Edward Halomoan Siahaan, CTRS

NPI 1205771086ActiveIndividual· Recreation Therapist· Riverside, CA

Recreation Therapist (CTRS) in Riverside, California, licensed in CA, with an NPI issued in April 2026. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.

Overview

NPI1205771086
StatusActive
Entity typeIndividual
CredentialCTRS
Sole proprietorNo
NPI issuedApr 20, 2026
Last updated in NPPESApr 20, 2026
Certified by providerApr 20, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Recreation Therapist Primary225800000XCTRS32156CA

About license numbers in NPPES

Exclusion screening

Possible match: verify before acting. The OIG list has a record with the same name in California, but that record carries no NPI, so it may be a different person or business.

Matched byName on OIG listExclusion typeExcluded sinceLocation
Name + stateEdward Halomoan Siahaan · Owner/Operator1128b4Aug 11, 1996Rancho Cucamonga, CA
ListResultDetails
HHS-OIG LEIE · Nov 10, 2026Possible (name)See above
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Recreation Therapist providers in Riverside

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