Active NPI
Jonathan Neighbor
- Physician Assistant
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17673
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62513 | CA | MD | Mental Health Counselor |
| PA17673 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Current | Accepting new patients | |
| Charles Drew University of Medicine & Science | Current | Accepting new patients | |
| Providence Health Alliance | Current | Accepting new patients | |
| Providence Health Alliance | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | 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
- jonathan.neighbor.1@8363.direct.athenahealth.com
- 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.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
- Specialist
- Waco, TX
- NPI 1932210838
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1528333101
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1972826931
-
- Emergency Medicine Physician
- Killeen, TX
- NPI 1215418280
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1609367788
-
dba Providence Family Health Clinic-Hillsboro
- Rural Health Clinic/Center
- Waco, TX
- NPI 1336590462
-
dba One Medical Group of Texas
- Family Medicine Physician
- Austin, TX
- NPI 1225644065
-
dba Ascension Texas Imaging
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.