Jonathan Michael Patuwo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS103014 Issued in CA

Practice address

1155 S Diamond Bar Blvd Ste D
Diamond Bar, CA 91765-2235

Phone

(909) 396-4435

NPI assigned

Sep 25, 2018

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1699259713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 FOX DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 S DIAMOND BAR BLVD STE D",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652235",
            "telephone_number": "909-396-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATUWO",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS103014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilipkumar G Patel, DDS
• Rajul K Patel, DDS
• Romi Rajul Patel, DDS
• Shagufta Patel, DPT
• Sonal Pathak, MS, CCC-SLP
• Paula G. Elmi, DMD, Apc
• Paulson-Chen Medical Associates, PC
• Chase Michael Paulson, MS, ATC
• Peace of Mind Home Healthcare
• Peace of Mind Home Healthcare,LLC

• General Practice Dentistry in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.