John Barry Siebenlist, MD

Individual provider Procedural Dermatology Physician · NPI 1164476909

John Barry Siebenlist, MD is a Dermatology in San Luis Obispo, California. Qualified in 1997, 29 years ago. Practices with J Robert West MD Inc, a 138-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying: 29
Licensed in: CA
In the registry since: 2006
Specialties on file: 2

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

1551 Bishop St Ste 220
San Luis Obispo, CA 93401-4635
Phone: (805) 541-0668
Fax: (805) 541-8213

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary)	Taxonomy 207NS0135X · Licence A61826 (CA)
MOHS-Micrographic Surgery Physician	Taxonomy 207ND0101X · Licence A61826 (CA)

Record details

NPI number	1164476909
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD
Sole proprietor	No
NPI enumerated	May 19, 2006
Last updated in NPPES	March 16, 2016

Medicare enrollment

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

Medicare specialty	DERMATOLOGY
Medical school	OTHER
Graduated	1997 (29 years in practice)
Group practice	J Robert West Md Inc — 138 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount