Jonathan E Thygeson, M.D., Inc., a Medical Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JONATHAN E THYGESON, M.D., INC., A MEDICAL CORPORATION

Doing business as

American River Pediatric and Adolescent Medicine
Jonathan Thygeson MD INC

Practice address

755 University Ave
Sacramento, CA 95825-6708

Phone

(916) 924-8754

Fax

(916) 924-1739

NPI assigned

Nov 2, 2018

Organization subpart

Yes

Parent organization

JONATHAN E THYGESON, M.D., INC., A MEDICAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. Jonathan E Thygeson, MDNPI 1790744704

Title

MD/Owner

Phone

(916) 924-8754

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 2

• American River Pediatric and Adolescent Medicine Doing business as
• Jonathan Thygeson MD INC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Jonathan E Thygeson MD Inc a Medical Corporation

Locations

Practitioners 5

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.

• Jonathan Eric Thygeson, MD

  • Pediatrics Physician
  • Sacramento, CA
  • NPI 1790744704
  NPD Authorized official
• Marketa Kyncl Leisure, M.D.

  • Pediatrics Physician
  • Sacramento, CA
  • NPI 1578504379
  NPD (past)
• Alaina Rae Niebuhr, FNP-C

  • Family Nurse Practitioner
  • Folsom, CA
  • NPI 1013304567
  NPD (past)
• David J Stone, M.D.

  • Pediatric Adolescent Medicine Physician
  • Jackson, CA
  • NPI 1871566323
  NPD (past)
• Philip S Traquair, MD

  • Pediatrics Physician
  • Sacramento, CA
  • NPI 1811990625
  NPD (past)

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1679041172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 UNIVERSITY AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256708",
            "telephone_number": "916-924-8754",
            "fax_number": "916-924-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 UNIVERSITY AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256708",
            "telephone_number": "916-924-8754",
            "fax_number": "916-924-1739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6357 Coyle Ave",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956080478",
            "country_code": "US",
            "telephone_number": "916-924-8754",
            "fax_number": "916-924-1739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JONATHAN E THYGESON, M.D., INC., A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JONATHAN E THYGESON, M.D., INC., A MEDICAL CORPORATION",
        "enumeration_date": "2018-11-02",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "THYGESON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "916-924-8754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DON R VAN SCHENCK",
            "identifier": "1154494543",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARKETA LEISURE MD",
            "identifier": "1578504379",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHILIP TRAQUAIR",
            "identifier": "1811990625",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JONATHAN E THYGESON",
            "identifier": "1790744704",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American River Pediatric and Adolescent Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jonathan Thygeson MD INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judy Jolley, RN
• Violeta Jomehri, NP
• Brian Andrew Jonas, M.D., PHD
• Evan Jonas, R.N.
• Jonathan Avalos MD Inc (Inflection Recovery)
• Jonathan R Hayes DDS Inc
• Heemay Jui-Jie Jone, M.D.
• Taasha Jones Reyes, RN
• Asianya Jones Vargas, MFT, PCC, ED. D.
• Brandy Sharelle Jones-Thomas, LMFT

• Pediatrics Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.