Individual provider Active NPI

Jonathan Purtell

  • Physician Assistant
  • Menlo Park, CA
National Provider Identifier
1194609438
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66856 Issued in CA
Practice address
1706 El Camino Real Ste 101
Menlo Park, CA 94027-4110
Phone
(650) 325-1395
NPI assigned
Jul 31, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA66856 CA Primary

Addresses

Primary practice location

1706 El Camino Real Ste 101
Menlo Park, CA 94027-4110

Mailing address

1706 El Camino Real Ste 101
Menlo Park, CA 94027-4110

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001000111 CA Practitioner - Physician Assistant 7719483577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1706 El Camino Real
Suite 101
Menlo Park, CA 94027-4127
Phone (510) 818-7230

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 793-6653

2000 Mowry Ave
Fremont, CA 94538-1746

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
66856CAMDPharmacist
PA66856CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dearborn & Associates Institute for Joint Restoration CurrentSince Aug 18, 2025 Accepting new patients
Dearborn & Associates Institute for Joint Restoration CurrentSince Aug 18, 2025 Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

1706 El Camino Real
Ste 101
Menlo Park, CA 94027
Phone (510) 818-7230

Interoperability endpoints

  • Direct secure messaging: jpurtell154792@direct.whhs.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1194609438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 EL CAMINO REAL STE 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940274110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 EL CAMINO REAL STE 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940274110",
            "telephone_number": "650-325-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURTELL",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.