Jon J. Atiga M.D., Inc.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

A43702 Issued in CA

Legal business name

JON J. ATIGA M.D., INC.

Practice address

27699 Jefferson Ave Ste 201
Temecula, CA 92590-2697

Phone

(951) 699-6115

Fax

(951) 699-6375

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Salina Marie Simmons

Title

Office Manager

Phone

(951) 699-6115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1679846547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27699 JEFFERSON AVE STE 201",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902697",
            "telephone_number": "951-699-6115",
            "fax_number": "951-699-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27699 JEFFERSON AVE STE 201",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902697",
            "telephone_number": "951-699-6115",
            "fax_number": "951-699-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON J. ATIGA M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "SALINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-699-6115",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A43702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sean Austin Johnston, DPT
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• Pediatric Adolescent Medicine Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.