JOHN BARRY SIEBENLIST (NPI# 1164476909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164476909 |
| Entity Type | Individual |
| Full Name | JOHN BARRY SIEBENLIST |
| Credential | M.D. |
| Practice Address |
1551 Bishop St Suite 220 San Luis Obispo CA 93401-4635 |
| Mailing Address |
2285 Corporate Cir Ste 200 Henderson NV 89074-7759 |
| Practice Telephone | 8055410668 |
| Practice Fax Number | 8055418213 |
| Mailing Telephone | 7023602763 |
| Mailing Fax Number | 9497832880 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A61826 | CA | Allopathic & Osteopathic Physicians |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A61826 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | P00146047 | 01 |
| Street Address |
1551 BISHOP ST SUITE 220 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801897012 | Mick Scott Meiselman | Internal Medicine | 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 | 2005-08-10 |
| 1285186106 | Mick S. Meiselman, M.d., Professional Corporation | Internal Medicine | 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 | 2016-10-26 |
| 1295110674 | Balance Treatment Slo, Inc | Clinic/Center | 1551 Bishop St, Ste 130a, San Luis Obispo, CA 93401-4635 | 2015-07-27 |
| 1295148492 | Sarah Van Camp | Pediatrics | 1551 Bishop St, San Luis Obispo, CA 93401-4635 | 2014-06-04 |
| 1629321849 | Karen Ann Fong Md | Pediatrics | 1551 Bishop St, Suite 310, San Luis Obispo, CA 93401-4635 | 2012-10-25 |
| 1356693683 | Michael S Mcconnell | Registered Nurse | 1551 Bishop St, A160, San Luis Obispo, CA 93401-4635 | 2012-10-10 |
| 1396025094 | Kelsey Ann Kehoe | Marriage & Family Therapist | 1551 Bishop St, Suite 510- E, San Luis Obispo, CA 93401-4635 | 2011-08-25 |
| 1992002182 | Allergy Partners of California, Inc. | Allergy & Immunology | 1551 Bishop St, Suite 520, San Luis Obispo, CA 93401-4635 | 2011-02-24 |
| 1962716316 | Julie Jensen Kean | Advanced Practice Midwife | 1551 Bishop St, C310, San Luis Obispo, CA 93401-4635 | 2010-07-27 |
| 1154576239 | Brandon James Slade | Podiatrist | 1551 Bishop St, San Luis Obispo, CA 93401-4635 | 2008-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053389247 | James Lee Longabaugh | Dermatology | 990 Pacific St, San Luis Obispo, CA 93401-6309 | 2006-03-14 |
| 1174927073 | Coastal Family Dermatology, PC | Dermatology | 990 Pacific St, San Luis Obispo, CA 93401-6309 | 2014-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175006 | Lms Medical Services | Dermatology | 1118 N Mccadden Pl, Los Angeles, CA 90038-1213 | 2020-08-17 |
| 1932687241 | Silhouette Medical Group | Dermatology | 101 E Vineyard Ave Ste 107, Livermore, CA 94550-6877 | 2018-07-31 |
| 1780188482 | California Dermatology Physicians | Dermatology | 1902 Fullerton Ave # 102, Corona, CA 92881-3112 | 2018-03-19 |
| 1942709738 | Azadeh Shirazi Md Inc | Dermatology | 7301 Girard Ave Ste 202, La Jolla, CA 92037-5151 | 2018-02-07 |
| 1205342920 | Solano Dermatology Associates Inc | Dermatology | 1700 2nd St Ste 220, Napa, CA 94559-2455 | 2017-12-18 |
| 1831603901 | Laser Medspa, Inc. | Dermatology | 73655 El Paseo Ste N, Palm Desert, CA 92260-4304 | 2017-11-27 |
| 1326427204 | Jennifer Herrmann Md Inc | Dermatology | 421 N Rodeo Dr Ste 7, Beverly Hills, CA 90210-4514 | 2015-05-25 |
| 1235540196 | Microsurgery Goup | Dermatology | 21039 S Figueroa Ave Suite 201, Carson, CA 90745-7042 | 2014-05-14 |
| 1811261183 | Robert Ray Nettles | Dermatology | 8500 Wilshire Blvd Ste 630, Beverly Hills, CA 90211-3139 | 2012-03-02 |
| 1164748737 | Jane Chung | Dermatology | 895 E Fremont Ave Ste 201, Sunnyvale, CA 94087-2973 | 2010-04-08 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.