| Jonathan K Stobaugh, PA-C | |
|
401 E Highland Ave, Suite 251, San Bernardino, CA 92404-3803 | |
| (909) 882-4605 | |
| (909) 475-2680 |
| Full Name | Jonathan K Stobaugh |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 401 E Highland Ave, San Bernardino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063447647 | NPI | - | NPPES |
| PA10962 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10962 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan K Stobaugh, PA-C 3400 Data Dr, Attn: Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: () - | Jonathan K Stobaugh, PA-C 401 E Highland Ave, Suite 251, San Bernardino, CA 92404-3803 Ph: (909) 882-4605 |
Nicholas Walther, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Deval Dave, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Daniel E Kim, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 284 E Highland Ave, San Bernardino, CA 92404 Phone: 909-883-1098 Fax: 909-883-0653 | |
Ms. Tanisha G Williams, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1805 Medical Center Dr, San Bernardino, CA 92411 Phone: 909-887-6333 Fax: 909-887-1985 | |
Miss Sara Natour, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2334 N Sierra Way, San Bernardino, CA 92405 Phone: 909-747-2715 | |
Ms. Keturah Braithwaite, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 941 Kendall Dr Ste C, San Bernardino, CA 92407 Phone: 302-354-7476 | |
Mr. Richard Tang, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1364 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-474-9952 |