Individual provider Active NPI

Jonathan Stanley Jewkes, M.D.

  • Diagnostic Radiology Physician
  • Redding, CA
National Provider Identifier
1710148937
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A125575 Issued in CA
Practice address
2020 Court St
Redding, CA 96001-1822
Phone
(530) 243-1236
Fax
(530) 245-5949
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301507690 MI
Surgery Physician 208600000X 2008016543 MO
Diagnostic Radiology Physician 2085R0202X A125575 CA Primary

Addresses

Primary practice location

2020 Court St
Redding, CA 96001-1822

Mailing address

PO Box 492080
Redding, CA 96049-2080
Phone (530) 243-1236

Other practice location 1

4660 S Hagadorn Rd Ste 510
East Lansing, MI 48823-6805
Phone (517) 353-5053

Other practice location 2

3220 Discovery Dr Ste 100
Lansing, MI 48910-8609
Phone (517) 975-8930

Other practice location 3

4660 S Hagadorn Rd Ste 410
East Lansing, MI 48823-6819
Phone (517) 353-5053

Other identifiers 2

IdentifierTypeStateIssuer
CA142212OtherCAMEDICARE PTAN
CA141087OtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, MI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20131011000104 CA Practitioner - Diagnostic Radiology 9133353873 Reassigns benefits to 13 organizations
I20220706001436 WA Practitioner - Diagnostic Radiology 9133353873 Reassigns benefits to 2 organizations
I20250308000285 MI Practitioner - Diagnostic Radiology 9133353873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians

Practice addresses (Care Compare)

1181 Humbug Way
Auburn, CA 95603-5855
Phone (541) 618-5800

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

25205 Stewart PL
Carmel, CA 93923-8305
Phone (541) 618-5800

55 Uranus Ter
San Francisco, CA 94114-1829
Phone (541) 618-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A125575CAMDDiagnostic Radiology Physician
2008016543MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Msu Health Care Inc Current Accepting new patients
Msu Health Care Inc. CurrentSince Mar 1, 2025 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Jun 14, 2022 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Swedish Health Services CurrentSince Aug 27, 2022 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Redwood Radiology Group Inc Diagnostic Radiology CurrentSince Jun 20, 2023 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jun 30, 2022 Accepting new patients
Regional Radiological Associates, Inc. a Medical Group Diagnostic Radiology CurrentSince Dec 15, 2014 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Jun 29, 2022 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jun 29, 2022 Accepting new patients
Medical Doctors Imaging Inc a Medical Group Diagnostic Radiology CurrentSince Dec 15, 2014 Accepting new patients
Msu Health Care Inc. Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jun 29, 2022 Accepting new patients
Swedish Health Services CurrentSince Aug 27, 2022 Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Jun 14, 2022 Accepting new patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Dec 21, 2022 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jun 29, 2022 Accepting new patients

Locations (25 of 30)

500 S University Ave
Ste 600
Little Rock, AR 72205
Phone (501) 686-2688

2143 S Sepulveda Blvd
Ste 300
Los Angeles, CA 90025
Phone (310) 445-0751

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

19950 Rinaldi St
Ste 101B
Porter Ranch, CA 91326
Phone (818) 496-7517

2020 Court St
Redding, CA 96001
Phone (530) 243-1236

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

26357 McBean Pkwy
Ste 155
Santa Clarita, CA 91355
Phone (661) 288-5940

1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511

925 Corporate Cntr Pkwy
Ste A
Santa Rosa, CA 95407
Phone (707) 543-2000

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

121 Sotoyome St
Fl 2
Santa Rosa, CA 95405

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

6580 Hembree Ln
Ste 270
Windsor, CA 95492
Phone (707) 838-2044

4660 S Hagadorn Rd
Ste 410
East Lansing, MI 48823
Phone (517) 884-6132

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4660 S Hagadorn Rd
Ste 510
East Lansing, MI 48823
Phone (517) 884-7450

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930

3102 Colby Ave
Everett, WA 98201
Phone (425) 258-8110

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1710148937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492080",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960492080",
            "telephone_number": "530-243-1236",
            "fax_number": "530-245-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011822",
            "telephone_number": "530-243-1236",
            "fax_number": "530-245-5949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 S Hagadorn Rd Ste 510",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236805",
            "country_code": "US",
            "telephone_number": "517-353-5053",
            "fax_number": "517-884-7640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 Discovery Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489108609",
            "country_code": "US",
            "telephone_number": "517-975-8930",
            "fax_number": "517-337-4985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 S Hagadorn Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236819",
            "country_code": "US",
            "telephone_number": "517-353-5053",
            "fax_number": "517-884-7640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEWKES",
        "first_name": "JONATHAN",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301507690",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2008016543",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A125575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA142212",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA141087",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.