JONATHAN THYGESON MD INC (NPI# 1679041172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679041172 |
| Entity Type | Organization |
| Organization Name | JONATHAN THYGESON MD INC |
| Practice Address |
755 University Ave Sacramento CA 95825-6708 |
| Practice Telephone | 9169248754 |
| Practice Fax Number | 9169241739 |
| Mailing Telephone | 9169248754 |
| Mailing Fax Number | 9169241739 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |
| Authorized Official Name | JONATHAN E THYGESON (MD/OWNER) |
| Authorized Official Telephone | 9169248754 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MARKETA LEISURE MD | 1578504379 | 01 |
| Street Address |
755 UNIVERSITY AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033194519 | Gary Allen Trubell | Physical Therapist | 755 University Ave, Sacramento, CA 95825-6708 | 2005-12-07 |
| 1063675437 | Anna Lemos | Physical Therapist | 755 University Ave, Sacramento, CA 95825-6708 | 2008-07-07 |
| 1013053784 | Cindy Yaewon Thygeson | Psychiatry & Neurology | 755 University Ave, Sacramento, CA 95825-6708 | 2007-01-30 |
| 1184706368 | Andrew Tai | Physical Therapist | 755 University Ave, Sacramento, CA 95825-6708 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1093353195 | East Sacramento Pediatric Medical Group Inc | Pediatrics | 5030 J St Ste 301, Sacramento, CA 95819-3800 | 2019-12-19 |
| 1992206544 | Brittany Michelle Mcgregor | Pediatrics | 7237 E Southgate Dr Ste A, Sacramento, CA 95823-2637 | 2018-02-27 |
| 1528440708 | Adrienne Hoyt-austin | Pediatrics | 2103 Stockton Blvd, Sacramento, CA 95817-1354 | 2015-06-23 |
| 1043618689 | Zachary Chaffin | Pediatrics | 2516 Stockton Blvd Ste 216, Sacramento, CA 95817-2208 | 2014-12-14 |
| 1316363104 | Howard N Futerman | Pediatrics | 1618 Alhambra Blvd Unit 160546, Sacramento, CA 95816-7622 | 2014-03-17 |
| 1063755932 | Joan Manansala Villaflor | Pediatrics | 7501 Hospital Dr Ste 203, Sacramento, CA 95823-5405 | 2013-03-29 |
| 1972847747 | Lauren E Wilson | Pediatrics | 425 University Avenue, Suite 200, Sacramento, CA 95825 | 2012-11-19 |
| 1982954103 | Virgina Lee | Pediatrics | 1111 Exposition Blvd # 700, Suite 102, Sacramento, CA 95815-4314 | 2012-09-14 |
| 1508113390 | Garrett Hau Sheng | Pediatrics | 1625 Stockton Blvd Ste 106, Sacramento, CA 95816-7098 | 2012-08-10 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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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.