NPIMap

Individual provider Active NPI

Jon Siiteri, PA

  • Medical Physician Assistant
  • Stanford, CA
National Provider Identifier
1609801539
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
20110 Issued in CA
Practice address
875 Blake Wilbur Drive
Stanford, CA 94305-5820
Phone
(650) 498-6000
Fax
(650) 736-8003
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 20110 CA Primary

Addresses

Primary practice location

875 Blake Wilbur Drive
Stanford, CA 94305-5820

Mailing address

875 Blake Wilbur Drive
Stanford Hospital and Clinics
Stanford, CA 94305-5820
Phone (650) 498-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Past Accepting new patients
Radiological Associates of Sacramento Medical Group Inc Past Accepting new patients
University of Minnesota Physicians Past Accepting new patients
Radiological Associates of Sacramento Medical Group Inc. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1609801539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DRIVE",
            "address_2": "STANFORD HOSPITAL AND CLINICS",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055820",
            "telephone_number": "650-498-6000",
            "fax_number": "650-736-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DRIVE",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055820",
            "telephone_number": "650-498-6000",
            "fax_number": "650-736-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIITERI",
        "first_name": "JON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "20110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.