Individual provider Active NPI

Douglas Martin Siegmund, FNP-C

  • Family Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1437837879
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025832 Issued in CA
Practice address
2010 E 1St St Ste 100
Santa Ana, CA 92705-4086
Phone
(714) 556-7246
NPI assigned
Jul 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95128967 CA
Family Nurse Practitioner 363LF0000X 95025832 CA Primary

Addresses

Primary practice location

2010 E 1St St Ste 100
Santa Ana, CA 92705-4086

Mailing address

2915 N. Cottonwood St. Unit 18
Orange, CA 92865
Phone (714) 342-8684

Other practice location 1

4950 Barranca Pkwy Ste 104
Irvine, CA 92604-8644
Phone (949) 857-1248

Other practice location 2

660 Baker St Ste A102
Costa Mesa, CA 92626-4407
Phone (714) 668-2505

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226001554 CA Practitioner - Nurse Practitioner 5092242420

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Family Medicine IncGroup PAC ID 4587678065, 35 clinicians

Practice addresses (Care Compare)

660 Baker St
Suite A102
Costa Mesa, CA 92626-4407
Phone (714) 668-2505

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95025832CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Park Medical Group, Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sigmund.douglasnp.p7@direct.nautilus.nextgenshare.com
  • Direct secure messaging: douglas.siegmund@78.securemail.prognocis.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1437837879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 N. COTTONWOOD ST. UNIT 18",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92865",
            "telephone_number": "714-342-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E 1ST ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054086",
            "telephone_number": "714-556-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 Barranca Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926048644",
            "country_code": "US",
            "telephone_number": "949-857-1248",
            "fax_number": "949-559-1165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 Baker St Ste A102",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926264407",
            "country_code": "US",
            "telephone_number": "714-668-2505",
            "fax_number": "714-668-2515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGMUND",
        "first_name": "DOUGLAS",
        "middle_name": "MARTIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95128967",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.