DR. JONATHAN TIEFENBRUN (NPI# 1265437727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265437727 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN TIEFENBRUN |
| Credential | M.D. |
| Practice Address |
8851 Center Dr Ste 505 La Mesa CA 91942-3017 |
| Mailing Address |
9610 Granite Ridge Dr Ste B San Diego CA 92123-2684 |
| Practice Telephone | 6194613880 |
| Practice Fax Number | 6194613895 |
| Mailing Telephone | 8588108000 |
| Mailing Fax Number | 8582681911 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2015-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
B18861 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | G85951 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SO CA MEDICARE PTAN | WG85951A | 01 |
| Street Address |
8851 CENTER DR STE 505 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608881 | Thomas Joseph Murphy | Obstetrics & Gynecology | 8851 Center Dr, Ste 100, La Mesa, CA 91942-3099 | 2005-06-08 |
| 1326680299 | Arielle Paamoni | Physician Assistant | 8851 Center Dr, La Mesa, CA 91942-3017 | 2019-10-11 |
| 1497204234 | Family Health Centers of San Diego, Inc. | Clinic/Center | 8851 Center Dr, Ste 312, La Mesa, CA 91942-3017 | 2016-09-21 |
| 1902279599 | Rhealynn Sison Nofuente | Nurse Practitioner | 8851 Center Dr, #408, La Mesa, CA 91942-3017 | 2015-11-04 |
| 1770959587 | Janice Roberts | Nurse Practitioner | 8851 Center Dr, 408, La Mesa, CA 91942-3017 | 2015-08-15 |
| 1003296104 | Printuben Patel | Pharmacist | 8851 Center Dr, Ste 110, La Mesa, CA 91942-3017 | 2015-06-03 |
| 1467839506 | Alex Matosian | Dentist | 8851 Center Dr, Suite 301, La Mesa, CA 91942-3017 | 2015-04-28 |
| 1790180065 | Gioi Ngoc Smith-nguyen Md A Medical Corporation | Obstetrics & Gynecology | 8851 Center Dr, 206, La Mesa, CA 91942-3017 | 2014-10-29 |
| 1316347040 | Bryant Nguyen, Md, PC | Internal Medicine | 8851 Center Dr, Suite 304, La Mesa, CA 91942-3017 | 2014-08-29 |
| 1538571864 | Sherev Heart and Vascular Clinic, Inc. | Internal Medicine | 8851 Center Dr, Ste 304, La Mesa, CA 91942-3017 | 2014-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033404306 | Msk-us, Inc. | Radiology | 4215 Spring St, Suite 125, La Mesa, CA 91941-7965 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316589765 | Somos Diagnostics, Inc. | Radiology | 1707 Eye St Ste 207, Bakersfield, CA 93301-5208 | 2019-10-16 |
| 1386295335 | Frunze Avoyan / 24 7 Care Diagnostic | Radiology | 401 N Brand Blvd Ste 336, Glendale, CA 91203-4427 | 2019-09-20 |
| 1548816531 | Bg Dx Inc | Radiology | 1750 N Beverly Glen Blvd, Los Angeles, CA 90077-2710 | 2019-08-14 |
| 1649825803 | Mia C Verbonitz | Radiology | 29450 Wooden Boat Dr, Menifee, CA 92585-9067 | 2019-08-05 |
| 1437702388 | Epic Mobil Ultrasound Imaging Inc | Radiology | 15417 Hart St, Van Nuys, CA 91406-5240 | 2019-07-19 |
| 1437618147 | Adventist Health Physicians Network | Radiology | 5125 Skyway Ste E, Paradise, CA 95969-5624 | 2019-03-13 |
| 1851870927 | Bahjat Helmi Alnajjar | Radiology | 5840 Santa Teresa Blvd, San Jose, CA 95123-4131 | 2018-08-09 |
| 1821589151 | Sirius Imaging Inc | Radiology | 14637 1/2 Titus St # B, Panorama City, CA 91402-4942 | 2018-05-22 |
| 1083102503 | Darnell M Nesbitt | Radiology | 1720 Florida St, Vallejo, CA 94590-5317 | 2018-04-30 |
| 1942798699 | Puja R Parikh | Radiology | 9043 Woodman Ave, Arleta, CA 91331-6404 | 2018-04-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.