Healthcare Provider Details

I. General information

NPI: 1487575478
Provider Name (Legal Business Name): JASON PIERCE DO, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27700 MEDICAL CENTER RD
MISSION VIEJO CA
92691-6426
US

IV. Provider business mailing address

32158 CAMINO CAPISTRANO STE 104-839
SAN JUAN CAPISTRANO CA
92675-3720
US

V. Phone/Fax

Practice location:
  • Phone: 949-291-1129
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON ANDREW PIERCE
Title or Position: CEO
Credential: DO
Phone: 949-291-1129