Individual provider Active NPI

Jonathan George Robert Samuel Fisher, M.D.

  • Sleep Medicine (Otolaryngology) Physician
  • Orinda, CA
National Provider Identifier
1649476359
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X
License
A90665 Issued in CA
Practice address
85 Southwood Dr
Orinda, CA 94563-3026
Phone
(925) 876-7936
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 96746FLMDOtolaryngology Physician
A90665CAMDPlastic Surgery Physician
ME96746FLMDPlastic Surgery Physician

Specialties & licenses 15

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A90665 CA
Otolaryngology Physician 207Y00000X ME 96746 FL
Pediatric Otolaryngology Physician 207YP0228X A90665 CA
Pediatric Otolaryngology Physician 207YP0228X ME 96746 FL
Sleep Medicine (Otolaryngology) Physician 207YS0012X A90665 CA Primary
Facial Plastic Surgery Physician 207YS0123X A90665 CA
Facial Plastic Surgery Physician 207YS0123X ME 96746 FL
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X A90665 CA
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X ME96746 FL
Otolaryngic Allergy Physician 207YX0602X A90665 CA
Otolaryngic Allergy Physician 207YX0602X ME96746 FL
Plastic Surgery Physician 208200000X A90665 CA
Plastic Surgery Physician 208200000X ME96746 FL
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X A90665 CA
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X ME96746 FL

Addresses

NPPES NPI Registry

Primary practice location

85 Southwood Dr
Orinda, CA 94563-3026

Mailing address

85 Southwood Dr
Orinda, CA 94563-3026
Phone (925) 876-7936

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649476359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SOUTHWOOD DR",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633026",
            "telephone_number": "925-876-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SOUTHWOOD DR",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633026",
            "telephone_number": "925-876-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JONATHAN",
        "middle_name": "GEORGE ROBERT SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A90665",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME 96746",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "CA",
            "license": "A90665",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "FL",
            "license": "ME 96746",
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "CA",
            "license": "A90665",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A90665",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME 96746",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "A90665",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "FL",
            "license": "ME96746",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "CA",
            "license": "A90665",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "FL",
            "license": "ME96746",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A90665",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME96746",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A90665",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME96746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.