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John Barry Siebenlist

Procedural Dermatology MOHS-Micrographic Surgeon

1551 Bishop St Suite 220
San Luis Obispo , California 93401-4635

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John Barry Siebenlist

Procedural Dermatology MOHS-Micrographic Surgeon

1551 Bishop St Suite 220
San Luis Obispo , California 93401-4635

(949) 783-2880

Write a Review Save Call

John Barry Siebenlist

Procedural Dermatology MOHS-Micrographic Surgeon

1551 Bishop St Suite 220
San Luis Obispo , California 93401-4635

(949) 783-2880 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • MOHS-Micrographic Surgeon
  • Procedural Dermatology

Languages spoken

  • English

Location

1551 Bishop St Suite 220 San Luis Obispo , California 93401-4635

First Address

  • John Barry Siebenlist
  • 2285 Corporate Cir Ste 200
  • Henderson, NV
  • Zip : 89074-7759
  • Fax : (949) 783-2880
  • Phone : (702) 360-2763

Second Address

  • John Barry Siebenlist
  • 1551 Bishop St Suite 220
  • San Luis Obispo, CA
  • Zip : 93401-4635
  • Fax : (805) 541-8213
  • Phone : (805) 541-0668

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FAQs


Where did John Barry Siebenlist attend graduate school?

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Where did John Barry Siebenlist do his residency?

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Where did John Barry Siebenlist do his fellowship?

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Is John Barry Siebenlist board certified?

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What type of doctor is John Barry Siebenlist

Procedural Dermatology

In what state does John Barry Siebenlist practice in?

California

Where is John Barry Siebenlist ’s practice located?

1551 Bishop St Suite 220 , San Luis Obispo, California, 93401-4635

What is John Barry Siebenlist ’s gender?

Male

Is John Barry Siebenlist a sole practitioner?

No

Is John Barry Siebenlist accepting new patients?

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What languages does John Barry Siebenlist speak?

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Does John Barry Siebenlist accept insurance?

Yes, John Barry Siebenlist accepts insurance

Does John Barry Siebenlist offers telemedicine?

John Barry Siebenlist has not indicated if he offers telemedicine

What is John Barry Siebenlist ’s professional license number?

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What is John Barry Siebenlist ’s NPI number?

1164476909

Does John Barry Siebenlist have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207ND0101X MOHS-Micrographic Surgeon A61826 CA
Y 207NS0135X Procedural Dermatology A61826 CA

National Provider Identifier

NPI 1164476909
Provider Name John Barry Siebenlist
First Address Henderson, NV 89074-7759
Second Address San Luis Obispo, CA 93401-4635
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/05/2006
Last Update Date 16/03/2016

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
H14183 (02) CA
P00146047 RAILROAD MEDICARE (01) CA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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