Organization Active NPI

Jonathan Larson MD PC

  • Adult Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1487334843
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
JONATHAN LARSON MD PC
Practice address
10 N High St Ste 222
Columbus, OH 43215-3497
Phone
(949) 484-9517
Fax
(949) 569-1295
NPI assigned
Jul 20, 2023
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Joshua Host
Title
Authorized Official
Phone
(949) 484-9517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X Primary

Addresses

Primary practice location

10 N High St Ste 222
Columbus, OH 43215-3497

Mailing address

2505 Anthem Village Drive Suite E#162
Henderson, NV 89052-5529
Phone (949) 484-9517

Other practice location 1

3500 Comanche NW Building E, Ste #15a
Albuquerque, NM 87107-4546
Phone (949) 484-9517

Other practice location 2

128 Chestnut St Ste 303A2
Philadelphia, PA 19106-3024
Phone (949) 484-9517

Other practice location 3

400 Renaissance Ctr Ste 2626
Detroit, MI 48243-1502
Phone (949) 484-9517

Other practice location 4

12345 W 95th St Ste 209
Lenexa, KS 66215-3837
Phone (949) 484-9517

Other practice location 5

9 Centennial Dr Ste 233
Peabody, MA 01960-7939
Phone (949) 484-9517

Other practice location 6

41 Hutchins Dr Bldg 3
Portland, ME 04102-1931
Phone (949) 484-9517

Other practice location 7

2025 Memory Ln Ste 300
Harker Heights, TX 76548-7488
Phone (949) 484-9517

Other practice location 8

525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Phone (949) 484-9517

Other practice location 9

701 N Green Valley Pkwy Ste 213
Henderson, NV 89074-6177
Phone (949) 484-9517

Other practice location 10

122 Delaware Street SteF-5
New Castle, DE 19720-4814
Phone (949) 484-9517

Other practice location 11

1840 Pyramid Pl Ste 237
Memphis, TN 38132-1703
Phone (949) 484-9517

Other practice location 12

635 Main St Ste 206A
Klamath Falls, OR 97601-6007
Phone (949) 484-9517

Other practice location 13

2116 Broadwater Ave Ste 211
Billings, MT 59102-4764
Phone (949) 484-9517

Other practice location 14

2719 S El Camino Real
San Clemente, CA 92672-3354
Phone (949) 484-9517

Other practice location 15

3000 N Litchfield Rd Ste 120
Goodyear, AZ 85395-7802
Phone (949) 484-9517

Other practice location 16

7261 S Broadway Ste 14L
Littleton, CO 80122-8019
Phone (949) 484-9517

Other practice location 17

1980 E 116th St Ste 315
Carmel, IN 46032-3517
Phone (949) 484-9517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IN, TX, CO, AZ, NV, TN, MT, OR, NJ, NM, ME, MA, KS, NH, KY, MI17 enrollments

Enrollment records 17

Enrollment IDStateProvider typePAC IDDetails
O20230905001182 CA Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 15 practitioners
Practice locations: Culver City, CA; San Clemente, CA
O20230925003403 IN Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 4 practitioners
Practice locations: Carmel, IN
O20230928001245 TX Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 19 practitioners
Practice locations: Harker Heights, TX
O20230928001909 CO Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 8 practitioners
Practice locations: Littleton, CO
O20230929001805 AZ Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 10 practitioners
Practice locations: Goodyear, AZ
O20231102000821 NV Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 7 practitioners
Practice locations: Henderson, NV
O20240403000682 TN Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 7 practitioners
Practice locations: Memphis, TN
O20240409001695 MT Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 4 practitioners
Practice locations: Billings, MT
O20240409002505 OR Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 5 practitioners
Practice locations: Klamath Falls, OR
O20240411000023 NJ Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 5 practitioners
Practice locations: Marlton, NJ
O20240423001536 NM Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 5 practitioners
Practice locations: Albuquerque, NM
O20240807001094 ME Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 3 practitioners
Practice locations: Portland, ME
O20240807003237 MA Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 5 practitioners
Practice locations: Peabody, MA
O20240827000441 KS Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 4 practitioners
Practice locations: Lenexa, KS
O20241022002107 NH Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 4 practitioners
Practice locations: Concord, NH
O20241028002638 KY Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 4 practitioners
Practice locations: Lexington, KY
O20241120002165 MI Part B Supplier - Clinic/Group Practice 8224491501 Receives reassigned benefits from 5 practitioners
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

122 Delaware St
#5
Historic New Castle, DE 19720

122 Delaware St
Ste F5
Historic New Castle, DE 19720

12345 W 95th St
Ste 209
Lenexa, KS 66215

12345 W 95th St
Ste 211
Lenexa, KS 66215

3499 Blazer Pkwy
Ste 325
Lexington, KY 40509

1 Galleria Blvd
Ste 1956
Metairie, LA 70001

9 Centennial Dr
Ste 233
Peabody, MA 01960

400 Renaissance Ctr
Ste 2626
Detroit, MI 48243

2116 Broadwater Ave
Ste 211
Billings, MT 59102

20 Foundry St
Ste 229
Concord, NH 03301

3500 Comanche Rd NE
Ste 15A
Albuquerque, NM 87107

2505 Anthem Village Dr
Henderson, NV 89052

2505 Anthem Village Dr
Ste E
Henderson, NV 89052

2505 Anthem Village Dr
Ste E162
Henderson, NV 89052

2505 Anthem Village Dr
Ste F
Henderson, NV 89052

2505 Anthem Village Dr
Ste F162
Henderson, NV 89052

701 N Green Valley Pkwy
#213
Henderson, NV 89074

701 N Green Valley Pkwy
Ste 213
Henderson, NV 89074

10 N High St
Ste 222
Columbus, OH 43215

128 Chestnut St
Ste 303
Philadelphia, PA 19106
Phone (215) 399-4128

1840 Pyramid Pl
Ste 237
Memphis, TN 38132

201 S Lakeline Blvd
Ste 402
Cedar Park, TX 78613
Phone (512) 593-8443

2501 S W S Young Dr
Ste 305
Killeen, TX 76542

400 Union Ave SE
Ste 240
Olympia, WA 98501

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1487334843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ANTHEM VILLAGE DRIVE SUITE E#162",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525529",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N HIGH ST STE 222",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153497",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Comanche NW Building E, Ste #15a",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871074546",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Chestnut St Ste 303A2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191063024",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Renaissance Ctr Ste 2626",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482431502",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12345 W 95th St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662153837",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Centennial Dr Ste 233",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019607939",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Hutchins Dr Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041021931",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Memory Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Harker Heights",
            "state": "TX",
            "postal_code": "765487488",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Route 73 N Ste 117",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080533422",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N Green Valley Pkwy Ste 213",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890746177",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Delaware Street SteF-5",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "DE",
            "postal_code": "197204814",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Pyramid Pl Ste 237",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381321703",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 Main St Ste 206A",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976016007",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2116 Broadwater Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591024764",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2719 S El Camino Real",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926723354",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 N Litchfield Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853957802",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7261 S Broadway Ste 14L",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801228019",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1980 E 116th St Ste 315",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323517",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JONATHAN LARSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "HOST",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "949-484-9517"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.