Jon L Siems MD Inc

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

54383 Issued in CA

Legal business name

JON L SIEMS MD INC

Practice address

31515 Rancho Pueblo Rd Ste 103
Temecula, CA 92592-4837

Phone

(951) 303-6111

Fax

(951) 302-4448

NPI assigned

Sep 7, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary Ann Porter

Title

Practice Manager

Phone

(951) 303-6111

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1194243394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31515 RANCHO PUEBLO RD STE 103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924837",
            "telephone_number": "951-303-6111",
            "fax_number": "951-302-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31515 RANCHO PUEBLO RD STE 103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924837",
            "telephone_number": "951-303-6111",
            "fax_number": "951-302-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON L SIEMS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "951-303-6111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "54383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "54383",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor D Johnson, AMFT
• Rebecca Johnston, OTD, OTR/L
• Sean Austin Johnston, DPT
• Tiffany Johnston
• Jon J. Atiga M.D., Inc.
• Jonathan Van Hoang DDS Management Inc
• Jonathan Van Hoang Management Inc
• Jonathan W. Rucker, DDS, Ms, PC
• Anaiah Jones
• Ashley Jones

• Ophthalmologic Surgery Clinic/Center in Temecula, CA
• Providers in Temecula, CA by specialty
• Ophthalmologic Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.