DR. JONATHAN CARL BIXBY M.D. NPI 1760639983

NPI Information

NPI: 1760639983
Provider Name: DR. JONATHAN CARL BIXBY, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
505 PARNASSUS AVE
ROOM M-696, BOX 0110
SAN FRANCISCO, CA
ZIP 94143
Phone: (415) 502-2720
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DR. Jonathan Carl Bixby, M.D. is a pediatrics in San Francisco, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Jonathan Carl Bixby, M.D. NPI is 1760639983. 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:

505 PARNASSUS AVE
ROOM M-696, BOX 0110
SAN FRANCISCO, CA
ZIP 94143-110
Phone: (415) 502-2720

The enumeration date for this NPI number is 8/19/2008 and was last updated on 7/10/2018.

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	208000000X	Pediatrics		4301092684	MICHIGAN	No
2	2080S0010X	Pediatrics	Sports Medicine	A127136	CALIFORNIA	No
3	208100000X	Physical Medicine & Rehabilitation		4301092684	MICHIGAN	No
4	208000000X	Pediatrics		A127136	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	A127136	OTHER	CALIFORNIA	MEDICAL BOARD OF CALIFORNIA
2	4301092684	OTHER	MICHIGAN	STATE LISCENCE

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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