Jon G McLennan, M.D., Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G30682 Issued in CA

Legal business name

JON G MCLENNAN, M.D., INC.

Practice address

79440 Corporate Center Dr Ste 118
La Quinta, CA 92253-7244

Phone

(760) 771-4900

Fax

(760) 771-4906

NPI assigned

Mar 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jon G McLennan, M.D.

Title

Owner

Phone

(760) 771-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Steele Braslow, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Indio, CA
  • NPI 1558313049
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1114199262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701055",
            "telephone_number": "760-771-4900",
            "fax_number": "760-771-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79440 CORPORATE CENTER DR STE 118",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537244",
            "telephone_number": "760-771-4900",
            "fax_number": "760-771-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON G MCLENNAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "MCLENNAN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-771-4900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G30682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G306820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JG Gonzalez Family Therapy, Inc
• Carol Theresa Johnson, RADT
• Kimberly Johnson
• Nina Ann Johnson
• Bryce D Jolley, DPM
• Joseph Elisha, M.D., Inc.
• Esther Jun-Ihn
• Peter M Kadile, DO
• Lisa Cypers Kamen
• Kayvan Kani, M.D.

• Orthopaedic Surgery Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.