Jonathan David Kaiser, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A42113 Issued in CA

Practice address

1083 Vine Street
Suite #852
Healdsburg, CA 95448-4830

Phone

(415) 246-9043

Fax

(415) 381-7503

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1467521484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 VINE STREET",
            "address_2": "SUITE #852",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954484830",
            "telephone_number": "415-246-9043",
            "fax_number": "415-381-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 VINE STREET",
            "address_2": "SUITE #852",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954484830",
            "telephone_number": "415-246-9043",
            "fax_number": "415-381-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A42113",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A42113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Winstonj Jacobs, M.D.,F.R.C.S
• James F. Carroll M.D. Medical Corporation
• Melissa Jinks, ARNP
• John a Delmonte DPM
• David B Jones, DC
• Deborah S. Karish, DC
• Andrew C Karozos, M.D.
• Melanie M Kates, MD
• Ember Keighley
• Kitty Wells, MFT

• Internal Medicine Physician in Healdsburg, CA
• Providers in Healdsburg, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.