Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Song Siameng Jann, PA-C

Individual provider Medical Physician Assistant · NPI 1114143211

Mr. Song Siameng Jann, PA-C is a Physician Assistant in Rancho Cucamonga, California. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1998, 28 years ago. Practices with Emergency Physicians Urgent Care Inc, a 140-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5131 Nellie Ct
Rancho Cucamonga, CA 91739-5132
Phone: (213) 841-4181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 12821 Main St Ste 140, Hesperia, CA 92345-9127 — (760) 949-2500
  • 41540 Winchester Rd, Temecula, CA 92590-4877 — (951) 365-5585

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA14795 (CA)

Record details

NPI number1114143211
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESOctober 29, 2023
Certification dateOctober 29, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Emergency Physicians Urgent Care Inc — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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