Active NPI
Jonathan George Robert Samuel Fisher, M.D.
- Sleep Medicine (Otolaryngology) Physician
- Orinda, CA
National Provider Identifier
1649476359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Otolaryngology) Physician
- License
- A90665
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 96746 | FL | MD | Otolaryngology Physician |
| A90665 | CA | MD | Plastic Surgery Physician |
| ME96746 | FL | MD | Plastic Surgery Physician |
Specialties & licenses 15
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 RegistryPrimary 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.