Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Donna Mirote Siazon

Individual provider Nurse Practitioner · NPI 1952946618

Donna Mirote Siazon is a Nurse Practitioner in San Bernardino, California. Qualified in 2019, 7 years ago. Practices with Department of State Hospitals, a 276-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

1800 Western Ave Ste 303
San Bernardino, CA 92411-1354
Phone: (909) 887-6715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95013252 (CA)

Record details

NPI number1952946618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 16, 2019
Last updated in NPPESNovember 16, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Department Of State Hospitals — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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