Individual provider · Type 1 NPI

Jonathan K. Stobaugh, PA-C

Physician Assistant · San Bernardino, CA

NPI number 1063447647 Active

Practice location

401 E Highland Ave, Suite 251
San Bernardino, CA 92404-3803

Call (909) 882-4605 Map

Fax (909) 475-2680

Mailing address

3400 Data Dr, Attn: Credentialing/payer Enrollment
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA10962 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063447647

Jonathan K. Stobaugh, PA-C's National Provider Identifier is 1063447647, issued on Jul 11, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Bernardino, CA. The record was last updated on Sep 21, 2017.