DR. JONATHAN TIEFENBRUN M.D. NPI 1265437727

NPI Information

NPI: 1265437727
Provider Name: DR. JONATHAN TIEFENBRUN, M.D.
Classification: Radiology - 2085U0001X
Entity Type: Individual

Specialization: Diagnostic Ultrasound

PECOS Registration: Yes

Address:
8851 CENTER DR
STE 505
LA MESA, CA
ZIP 91942
Phone: (619) 461-3880
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DR. Jonathan Tiefenbrun, M.D. is a diagnostic ultrasound radiology in La Mesa, CA. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. DR. Jonathan Tiefenbrun, M.D. NPI is 1265437727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8851 CENTER DR
STE 505
LA MESA, CA
ZIP 91942-017
Phone: (619) 461-3880
Fax: (619) 461-3895

The NPI 1265437727 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2005 and was last updated on 9/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		G85951	CALIFORNIA	No
2	2085U0001X	Radiology	Diagnostic Ultrasound	B18861	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WG85951A	OTHER	CALIFORNIA	SO CA MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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