Jonathan E Travis, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G68878 Issued in CA

Practice address

1 Madrone St
Willits, CA 95490-4225

Phone

(707) 456-3093

Fax

(707) 256-3508

NPI assigned

Jul 27, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Northern California Imaging Associates Medical Group Inc

  dba Wine Country Imaging Medical Group Inc

  • Diagnostic Radiology Physician
  • Red Bluff, CA
  • NPI 1457397838
  NPD (past)
• Solano Imaging Medical Associates

  • Diagnostic Radiology Physician
  • Fairfield, CA
  • NPI 1578529756
  NPD (past)
• Sunshine Radiology LLC

  • Diagnostic Radiology Physician
  • Winter Haven, FL
  • NPI 1184895054
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1467466482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3222",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945580293",
            "telephone_number": "707-261-7822",
            "fax_number": "707-256-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MADRONE ST",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954904225",
            "telephone_number": "707-456-3093",
            "fax_number": "707-256-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "JONATHAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G68878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G688780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Temple
• Thrifty Payless Inc (Rite Aid Pharmacy 06034)
• Caryn Torres
• Huong Tran, DMD
• Nhu Tran, ACNP
• Kaitan Tripaldi
• Ukiah Adventist Hospital (Adventist Health Howard Pharmacy)
• Ramona Waldman
• Heather Watson
• Debra Weisman, RN

• Diagnostic Radiology Physician in Willits, CA
• Providers in Willits, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.