DR. JONATHAN PRYOR (NPI# 1184792079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184792079 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN PRYOR |
| Credential | MD |
| Practice Address |
3737 Martin Luther King Jr Blvd Suite 404 Lynwood CA 90262-3513 |
| Practice Telephone | 4242134290 |
| Practice Fax Number | 4242134295 |
| Mailing Telephone | 4242134290 |
| Mailing Fax Number | 4242134295 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2014-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | A62260 | CA | Other Service Providers |
| N | 208600000X | Surgery | A62260 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
A62260 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
A62260 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306195904 | Jonathan Wallace Pryor | Counselor | 400 N Brown, Hamilton, TX 76531-1518 | 2012-08-29 |
| Street Address |
3737 MARTIN LUTHER KING JR BLVD SUITE 404 |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036700 | Richard Seidman | Internal Medicine | 3737 Martin Luther King Jr Blvd, Ste 401, Lynwood, CA 90262-3513 | 2005-07-08 |
| 1952921280 | Angela Marie Garcia | Case Manager/Care Coordinator | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2020-04-16 |
| 1245870922 | Davisha Moaning | Case Manager/Care Coordinator | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2020-01-10 |
| 1871130484 | Sarah Taylor Ortega Flanagan | Physical Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-12-02 |
| 1467097055 | Yuna Kim | Occupational Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-11-07 |
| 1376185710 | Aurora Godinez | Case Manager/Care Coordinator | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-10-16 |
| 1992356208 | Cindy Beas | Occupational Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-09-27 |
| 1871142190 | Jeanette Losaria | Physical Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-09-09 |
| 1437644150 | Kevin Abraham Elgrichi | Dentist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2018-06-25 |
| 1861991663 | Tomanika Taylor | Marriage & Family Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2018-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750642138 | Danielle N Dabbs Do Inc | Surgery | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2012-06-02 |
| 1538488242 | Reginald J. Jones, M.d., F.a.c.s., Inc. | Surgery | 3737 Martin Luther King Jr Blvd, Suite 404, Lynwood, CA 90262-3513 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831665843 | Layton Surgery | Surgery | 9025 Wilshire Blvd Ste 401, Beverly Hills, CA 90211-1828 | 2018-10-17 |
| 1003319609 | Amber Jones Do Mph | Surgery | 121 Jose Ln, Martinez, CA 94553-9795 | 2018-03-10 |
| 1326589870 | Aussama Khalaf Nassar | Surgery | 300 Pasteur Dr # 67, Stanford, CA 94305-2200 | 2017-03-16 |
| 1124301189 | Rafael Torres-fajardo | Surgery | 2315 Stockton Blvd Rm Op512, Sacramento, CA 95817-2201 | 2011-09-26 |
| 1104125343 | Eleanor Curtis | Surgery | 2335 Stockton Blvd, Sacramento, CA 95817-9581 | 2011-03-25 |
| 1942444005 | Justin Abraham Mandell | Surgery | 2315 Stockton Blvd # Surgery, Sacramento, CA 95817-2201 | 2009-04-20 |
| 1649435322 | Ruby A. Skinner, Md Apc | Surgery | 1100 S Hope St Apt 1116, Los Angeles, CA 90015-2190 | 2008-07-22 |
| 1316123383 | Abnet Amsalework Alemu | Surgery | 2350 Country Hills Drive, Antioch, CA 94506 | 2008-01-21 |
| 1851596118 | Angela Lynn Neville | Surgery | Harbor Ucla Medical Center, Dept of Surgery. Box #25, 1000 W. Carson Street, Torrance, CA 90502 | 2007-06-18 |
| 1750315214 | Sean Cao, M.d., Inc. | Surgery | 9940 Talbert Ave # 202, Fountain Valley, CA 92708-5153 | 2006-07-10 |
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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.