Jon Birnbaum, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G15544 Issued in CA

Practice address

28 Marie St
Sausalito, CA 94965-1864

Phone

(415) 289-1043

NPI assigned

Jan 29, 2013

Last updated

Jan 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1679811491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MARIE ST",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651864",
            "telephone_number": "415-289-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MARIE ST",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651864",
            "telephone_number": "415-289-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNBAUM",
        "first_name": "JON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G15544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Mackean Bentley
• Nan Hee Berg, CRNA
• Lissa J'Hanna Bernstein-Lawler, MD
• Doris Bersing, PHD
• Kirsten Bettendorf
• Carianne Blomquist, D.O.
• Todd Allen Bollinger, PSY.D.
• Bruce Bongar, PH.D.
• Norma Darshan Brach, MFT
• Jacob Brown, MA

• Plastic Surgery Physician in Sausalito, CA
• Providers in Sausalito, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.