JONATHAN PHILIP IGO (NPI# 1215476643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215476643 |
| Entity Type | Individual |
| Full Name | JONATHAN PHILIP IGO |
| Credential | FNP-C |
| Practice Address |
25405 Hancock Ave Ste 217 Murrieta CA 92562-5978 |
| Practice Telephone | 9512002090 |
| Practice Fax Number | 9512002095 |
| Mailing Telephone | 9512002090 |
| Mailing Fax Number | 9512002095 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2019-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.422395 | OH | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95008165 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.020541 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 E Redlands Blvd Ste 284, Redlands, CA 923734721 | 9512004666 | 9518489562 |
| Street Address |
25405 HANCOCK AVE STE 217 |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-5978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821618638 | Rodolfo Jaravata Hanson | Nurse Practitioner | 29910 Murrieta Hot Springs Rd., Ste G-505, Murrieta, CA 92563-3815 | 2020-04-22 |
| 1467097303 | Vaneet K Kaler | Nurse Practitioner | Loma Linda Wound Care & Hyperbaric Center, 28078 Baxter Rd, Murrieta, CA 92563-1401 | 2019-11-14 |
| 1619430881 | Jenta Karlene Kunkel | Nurse Practitioner | 22862 Montanya Pl, Murrieta, CA 92562-3496 | 2019-04-12 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1114432721 | May Farrah Blanco Yoshisaki | Nurse Practitioner | 39525 Los Alamos Road, Ste E, Murrieta, CA 92563 | 2017-12-05 |
| 1588196612 | Galena Dapra | Nurse Practitioner | 27808 Baxter Rd. Suite 320, Murrieta, CA 92563 | 2017-03-29 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| 1194069203 | Sarah Hussein Sheikh | Nurse Practitioner | 41670 Ivy St Ste B, Murrieta, CA 92562-9433 | 2012-11-15 |
| 1205104726 | Mona Rae Breid | Nurse Practitioner | 24910 Las Brisas Rd Ste 106, Murrieta, CA 92562-4010 | 2011-12-12 |
| 1649555939 | Gracious K Basa | Nurse Practitioner | 41670 Ivy St Suite B, Murrieta, CA 92562-1707 | 2011-10-18 |
| Find all providers in MURRIETA | ||||
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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.