JON R. WASHBURN PA NPI 1417966466

NPI Information

  • NPI: 1417966466
  • Provider Name: JON R. WASHBURN, PA
  • Classification: Personal Emergency Response Attendant - 146D00000X
  • Entity Type: Individual
  • Address: 525 WEST ACACIA STREET
    STOCKTON, CA
    ZIP 95203
  • Phone: (209) 944-5550

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NPI Details

Jon R. Washburn, PA is a personal emergency response attendant in Stockton, CA. The provider is individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. Jon R. Washburn, PA NPI is 1417966466. 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:

525 WEST ACACIA STREET
STOCKTON, CA
ZIP 95203-405
Phone: (209) 944-5550

The enumeration date for this NPI number is 8/7/2006 and was last updated on 4/22/2008.

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
1207P00000XEmergency Medicine02A5306CALIFORNIANo
2146D00000XPersonal Emergency Response AttendantPA15880CALIFORNIAYes

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
1PA15880MEDICAIDCALIFORNIA
20PA158801MEDICARE 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: 3/30/2025

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