Individual provider · Type 1 NPI

Jonas Fortin Obispo, NP

Nurse Practitioner · Santa Monica, CA

NPI number 1699350074 Active

Practice location

1250 16th St # C2304
Santa Monica, CA 90404-1249

Call (310) 319-4698 Map

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	95015686 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1699350074

Jonas Fortin Obispo, NP's National Provider Identifier is 1699350074, issued on Mar 16, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Monica, CA. The record was last updated on Oct 2, 2025.