Active NPI
Joseph Aaron Siegel, M.D.
- Internal Medicine Physician
- Oceanside, CA
National Provider Identifier
1083935951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 65890
- Practice address
- 200 Mercy Circle
Oceanside, CA 92055 - Phone
- (424) 421-4234
- NPI assigned
- Jun 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 65890 | GA | |
| General Practice Physician | 208D00000X | 65890 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 65890 | GA | Primary |
Addresses
Primary practice location
200 Mercy Circle
Oceanside, CA 92055
Mailing address
200 Mercy Circle
Oceanside, CA 92055
Phone (424) 421-4234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65890 | Other | GA | STATE LICENSE TO PRACTICE MEDICINE |
| 337634 | Other | AMERICAN BOARD OF INTERNAL MEDICINE CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150324000115 | CA | Order and Referring Only - General Practice | 9931426301 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65890 | GA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1083935951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92055",
"telephone_number": "424-421-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92055",
"telephone_number": "424-421-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "JOSEPH",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-15",
"last_updated": "2025-01-17",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "GA",
"license": "65890",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "65890",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "65890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE TO PRACTICE MEDICINE",
"identifier": "65890",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD OF INTERNAL MEDICINE CERTIFICATION",
"identifier": "337634",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.