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

Nicole Siacunco, DO

Individual provider Anesthesiology Physician · NPI 1508447194

Nicole Siacunco, DO is an Anesthesiology in Rancho Mirage, California. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2021, 5 years ago. Practices with Eisenhower Medical Center, a 459-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
CA
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone: (760) 340-3911
Fax: (760) 837-8876
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 20A24186 (CA)

Record details

NPI number1508447194
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 15, 2021
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2021 (5 years in practice)
Group practice Eisenhower Medical Center — 459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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