Individual provider Active NPI

Jonathan Neighbor

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1629725742
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17673 Issued in TX
Practice address
1731 E 120TH St
Los Angeles, CA 90059-3051
Phone
(323) 563-4800
NPI assigned
Mar 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA17673 TX Primary

Addresses

Primary practice location

1731 E 120TH St
Los Angeles, CA 90059-3051

Mailing address

1731 E 120TH St
Los Angeles, CA 90059-3051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230829002350 CA Practitioner - Physician Assistant 1153784889 Reassigns benefits to 2 organizations
I20240308002576 TX Practitioner - Physician Assistant 1153784889 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1905 SW H K Dodgen Loop
Ascension Medical Group Temple
Temple, TX 76502-1814
Phone (254) 298-2682

1909 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (877) 324-3310

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
62513CAMDMental Health Counselor
PA17673TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Current Accepting new patients
Charles Drew University of Medicine & Science CurrentSince Mar 13, 2022 Accepting new patients
Providence Health Alliance CurrentSince Jul 10, 2025 Accepting new patients
Providence Health Alliance CurrentSince Jul 10, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Jul 10, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Jul 10, 2025 Accepting new patients

Locations

1731 E 120th St
Los Angeles, CA 90059
Phone (323) 563-4800

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1015 W University Ave
Ste 700
Georgetown, TX 78628
Phone (512) 324-9699

729 Sun Valley Blvd
Hewitt, TX 76643

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

7003 Woodway Dr
Ste 311
Woodway, TX 76712
Phone (254) 537-6000

Interoperability endpoints

  • Direct secure messaging: jonathan.neighbor.1@8363.direct.athenahealth.com
  • Direct secure messaging: jonathan.neighbor.1@9635.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1629725742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 E 120TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 E 120TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593051",
            "telephone_number": "323-563-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIGHBOR",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-08",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.