Jonathan Tiefenbrun, M.D.

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

B18861 Issued in CA

Practice address

8851 Center Dr
Ste 505
La Mesa, CA 91942-3017

Phone

(619) 461-3880

Fax

(619) 461-3895

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1265437727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9610 GRANITE RIDGE DR",
            "address_2": "STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232684",
            "telephone_number": "858-810-8000",
            "fax_number": "858-268-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "STE 505",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-461-3880",
            "fax_number": "619-461-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEFENBRUN",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "B18861",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G85951",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SO CA MEDICARE PTAN",
            "identifier": "WG85951A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caprice Nicoline Emmer Thompson, DO
• John Carlos Thompson, M.D.
• Roger A Thrush, PH.D.
• Georges Alexandre Tichy, PSY.D.
• James Tidwell, MD, MPH
• Romchoung K Tieu, PARENT PARTNER
• Tiffany Diemquynh Tieu
• Timothy L. Caruthers Chiropractic Corp
• Timothy Shen, DDS, Inc. (Trinity Family Dental)
• Tina Bui OD Inc (Buitique Optometry)

• Diagnostic Ultrasound Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Diagnostic Ultrasound Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.