Jonathan Stanley Hamrick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A35634 Issued in CA

Practice address

47 Santa Rosa St
47 Santa Rosa
San Luis Obispo, CA 93405-5816

Phone

(805) 542-9956

Fax

(805) 594-1436

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Department of State Hospitals

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• Department of State Hospitals

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1174575567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 SANTA ROSA ST",
            "address_2": "47 SANTA ROSA",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055816",
            "telephone_number": "805-542-9956",
            "fax_number": "805-594-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 SANTA ROSA ST",
            "address_2": "47 SANTA ROSA",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055816",
            "telephone_number": "805-542-9956",
            "fax_number": "805-594-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "JONATHAN",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A35634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WA35634M",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mehta Halstead, RN
• David Halverstadt, D.C.
• Lindsey Olivia Hamill
• Michelle Thomas Hamilton, L.AC., C.M.T.
• Victoria Christine Hamilton, ACSW
• Joshua Handler
• Klara Michael Handrock, RN
• Hanger Prosthetics & Orthotics West, Inc.
• Paige Patrice Hanham
• Abgail Nikole Hanley-Cox

• Family Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.