DR. JONATHAN FISH M.D. NPI 1033146758

NPI Information

  • NPI: 1033146758
  • Provider Name: DR. JONATHAN FISH, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2125 OAK GROVE RD
    SUITE 200
    WALNUT CREEK, CA
    ZIP 94598
  • Phone: (925) 296-7150

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NPI Details

DR. Jonathan Fish, M.D. is a diagnostic radiology radiology in Walnut Creek, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jonathan Fish, M.D. NPI is 1033146758. 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:

2125 OAK GROVE RD
SUITE 200
WALNUT CREEK, CA
ZIP 94598-536
Phone: (925) 296-7150
Fax: (925) 296-7171

The NPI 1033146758 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 4/2/2015.

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
12085R0202XRadiologyDiagnostic RadiologyG14910CALIFORNIAYes

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
130097022MEDICARE PINCALIFORNIA
2AM421SMEDICARE PINCALIFORNIA
3AM421XMEDICARE PINCALIFORNIA
4AM421IMEDICARE PINCALIFORNIA
5AM421MMEDICARE PINCALIFORNIA
6300096979MEDICARE PINCALIFORNIA
7300097062MEDICARE PINCALIFORNIA
8AM421NMEDICARE PINCALIFORNIA
9AM421OMEDICARE PINCALIFORNIA
10AM421UMEDICARE PINCALIFORNIA
11AM421JMEDICARE PINCALIFORNIA
12AM421KMEDICARE PINCALIFORNIA
13300097065MEDICARE PINCALIFORNIA
14AM421WMEDICARE PINCALIFORNIA
15AM421YMEDICARE PINCALIFORNIA
16A39375MEDICARE UPINCALIFORNIA
1700G149100MEDICARE PINCALIFORNIA
18AM421QMEDICARE PINCALIFORNIA
19AM421VMEDICARE PINCALIFORNIA
20AM421ZMEDICARE PINCALIFORNIA
21AM421LMEDICARE PINCALIFORNIA
22AM421PMEDICARE PINCALIFORNIA
23AM421RMEDICARE PINCALIFORNIA
24AM421TMEDICARE PINCALIFORNIA

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: 11/21/2025

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