Organization Active NPI

Jonathan's Son, Inc.

  • Customized Equipment (DME)
  • Santa Rosa, CA
National Provider Identifier
1407156813
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
409116 Issued in CA
Legal business name
JONATHAN'S SON, INC.
Practice address
2615 Alton LN
Santa Rosa, CA 95403-4015
Phone
(707) 538-3210
Fax
(707) 324-8184
NPI assigned
Nov 1, 2010
Last updated
Nov 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Mrs. Rhonda Stockton-Harlin, RN
Title
Vice President
Phone
(707) 538-3210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 409116 CA Primary

Addresses

Primary practice location

2615 Alton LN
Santa Rosa, CA 95403-4015

Mailing address

2615 Alton LN
Santa Rosa, CA 95403-4015
Phone (707) 538-3210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1407156813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 ALTON LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954034015",
            "telephone_number": "707-538-3210",
            "fax_number": "707-324-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 ALTON LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954034015",
            "telephone_number": "707-538-3210",
            "fax_number": "707-324-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN'S SON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "STOCKTON-HARLIN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "707-538-3210",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "409116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.