JONATHAN TIAGO AVILA (NPI# 1063754745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063754745 |
| Entity Type | Individual |
| Full Name | JONATHAN TIAGO AVILA |
| Credential | M.D. |
| Practice Address |
1195 W Fremont Ave Fl 2 Sunnyvale CA 94087-3832 |
| Mailing Address |
770 Welch Rd Ste 100 Stanford University - Division of Adolescent Medicine Palo Alto CA 94304 |
| Practice Telephone | 4084255593 |
| Mailing Telephone | 6507369557 |
| Mailing Fax Number | 6507367706 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | A139957 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
A139957 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 770 Welch Rd Ste 100, Palo Alto, CA 94304 | 6507369557 | 6507367706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457599292 | Jonathan Christopher Avila | Counselor | 2501 Long Beach Blvd, Long Beach, CA 90806-3111 | 2009-02-02 |
| Street Address |
1195 W FREMONT AVE FL 2 |
| City | SUNNYVALE |
| State | CA |
| Zip Code | 94087-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417597642 | Care Comfort Cure A Professional Corporation | Acupuncturist | 877 W Fremont Ave, Ste. I-3, Sunnyvale, CA 94087 | 2020-01-15 |
| 1629632658 | Amy Valentine | Social Worker | Stanford Children's Health Specialty Clinics, 1195 West Fremont Ave, Sunnyvale, CA 94087 | 2019-04-25 |
| 1144707043 | Fremont Union High School District | Community/Behavioral Health | 591 W Fremont Ave, Sunnyvale, CA 94087 | 2018-07-24 |
| 1245737170 | Bintu Baby | Nurse Practitioner | 576 E El Camino Real # 9700, Sunnyvale, CA 94087 | 2018-04-08 |
| 1619484094 | Jenny Giang | Pharmacist | 103 El Camino Real, Sunnyvale, CA 94087 | 2018-01-06 |
| 1073042347 | Melvin James Ezaki | Pharmacist | 1165 W. El Camino Real, Sunnyvale, CA 94087 | 2017-06-08 |
| 1053862466 | Wei Wang | Acupuncturist | 500 E Remington Dr. #25, Sunnyvale, CA 94087 | 2016-10-20 |
| 1083164016 | Greenschema Inc. | Marriage & Family Therapist | 575 Dunholmeway, Sunnyvale, CA 94087 | 2016-10-13 |
| 1558718106 | Neta Shani | Acupuncturist | 500e Remington Dr #25, Sunnyvale, CA 94087 | 2016-05-24 |
| 1396113635 | Megan M Kolda | Counselor | 814 Mulberry Ln, Sunnyvale, CA 94087 | 2015-09-03 |
| Find all providers in zip 94087 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1154986107 | School Health Clinics of Santa Clara County | Pediatrics | 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 | 2019-05-06 |
| 1669927125 | Irvine Doctors of Kids and Teens | Pediatrics | 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 | 2016-08-24 |
| 1043673270 | Alexander S Golec | Pediatrics | 3333 California St Ste 245, San Francisco, CA 94118-6210 | 2016-04-04 |
| 1710360094 | Jennifer Johnson, M.d., A Professional Corporation | Pediatrics | 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 | 2015-07-03 |
| 1902290448 | Brittany Kathleen Badal | Pediatrics | 2330 Post St Ste 219, San Francisco, CA 94115-3465 | 2015-03-23 |
| 1750770608 | Ighia Aintablian Md A Professional Corporation | Pediatrics | 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 | 2015-01-15 |
| 1184035032 | Carlos Beharie M.d. Medical Group, Inc. | Pediatrics | 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 | 2014-05-14 |
| 1164859385 | Pediatric Adolescent Clinic | Pediatrics | 1214 Adriana Way, Upland, CA 91784-1742 | 2013-10-02 |
| 1578804084 | Eleanor S. Blatt | Pediatrics | 212 20th St, Huntington Beach, CA 92648-3914 | 2013-03-07 |
| 1053676619 | Gladys Hope Dadivas Yerro | Pediatrics | 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 | 2012-07-10 |
| Find all providers with the same taxonomy | ||||
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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.