Active NPI
Jon W Churnin MD Inc
- Pain Medicine (Anesthesiology) Physician
- Daly City, CA
National Provider Identifier
1619011095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- G34291
- Legal business name
- JON W CHURNIN MD INC
- Practice address
- 901 Campus Dr Ste 102
Daly City, CA 94015-4930 - Phone
- (650) 991-2000
- NPI assigned
- Feb 18, 2007
- Last updated
- Jul 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jon W Churnin, MD
- Title
- Owner
- Phone
- (650) 343-9746
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G34291 | CA | Primary |
Addresses
Primary practice location
901 Campus Dr Ste 102
Daly City, CA 94015-4930
Mailing address
219 Elm St Apt 5
San Mateo, CA 94401-2640
Phone (650) 343-9746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Pain Medicine (Anesthesiology) Physician
- Daly City, CA
- NPI 1841283892
-
- Specialist
- Daly City, CA
- NPI 1265541346
-
- Anesthesiology Physician
- Daly City, CA
- NPI 1336131317
-
- Plastic Surgery Physician
- Burlingame, CA
- NPI 1295712792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405555200000",
"number": "1619011095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 ELM ST APT 5",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944012640",
"telephone_number": "650-343-9746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CAMPUS DR STE 102",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940154930",
"telephone_number": "650-991-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JON W CHURNIN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-18",
"last_updated": "2014-07-17",
"status": "A",
"authorized_official_last_name": "CHURNIN",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-343-9746",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "G34291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.