Active NPI
Elizabeth Siacunco, MD
- Emergency Medicine Physician
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- T2982
- Practice address
- 39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221 - Phone
- (760) 340-3911
- Fax
- (760) 773-1481
- NPI assigned
- Jun 5, 2017
- Last updated
- Aug 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A159671 | CA | |
| Emergency Medicine Physician | 207P00000X | T2982 | TX | Primary |
Addresses
Primary practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Mailing address
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Arizona College of Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1600 11TH St
Wichita Falls, TX 76301-4388
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 89.56
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A159671 | CA | MD | Emergency Medicine Physician |
| T2982 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chino Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Observation Services of Wichita Falls LLC | Emergency Medicine | Current | Accepting new patients |
| Bakersfield Family Medical Group Inc | Current | Accepting new patients | |
| Eisenhower Medical Center | Current | Accepting new patients | |
| United Regional Health Care System Inc | Current | Accepting new patients | |
| Titanium Emergency Group LLP | Emergency Medicine | Current | Accepting new patients |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Montclair Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Coastal Communities Physician Network, Inc. | Past | Accepting new patients |
Locations
4580 California Ave
Bakersfield, CA 93309
Phone (661) 327-4411
5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600
5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813
39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053
72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999
1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000
Interoperability endpoints
- elizabeth.siacunco.p1@direct.bfmc.nextgenshare.com
- esiacunco62430@unitedregional.medalliesdirect.net
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bakersfield Family Medical Group
- Multi-Specialty Clinic/Center
- Bakersfield, CA
- NPI 1013912641
-
- Emergency Medicine Physician
- Chino, CA
- NPI 1013282029
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Emergency Medicine Physician
- Montclair, CA
- NPI 1316044696
-
- Emergency Medicine Physician
- Wichita Falls, TX
- NPI 1013329259
-
- Emergency Medicine Physician
- Wichita Falls, TX
- NPI 1023075462
-
dba Eisenhower Health
- General Acute Care Hospital
- La Quinta, CA
- NPI 1063743490
-
dba Eisenhower Health
- General Acute Care Hospital
- Cathedral City, CA
- NPI 1629384615
-
dba United Regional Heath Care System
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
-
- Health Maintenance Organization
- San Luis Obispo, CA
- NPI 1275735011
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba United Regional Heath Care System
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1104355064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-340-3911",
"fax_number": "760-773-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-340-3911",
"fax_number": "760-773-1481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIACUNCO",
"first_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A159671",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "T2982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.