DR. JONATHAN TIEFENBRUN M.D. NPI 1265437727

NPI Information

  • NPI: 1265437727
  • Provider Name: DR. JONATHAN TIEFENBRUN, M.D.
  • Classification: Radiology - 2085U0001X
  • Specialization: Diagnostic Ultrasound
  • Entity Type: Individual
  • Address: 8851 CENTER DR
    STE 505
    LA MESA, CA
    ZIP 91942
  • Phone: (619) 461-3880

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NPI Details

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 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
1208600000XSurgeryG85951CALIFORNIANo
22085U0001XRadiologyDiagnostic UltrasoundB18861CALIFORNIAYes

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
1WG85951AOTHERCALIFORNIASO 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: 11/21/2025

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