Jonathan Noble, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G17043 Issued in CA

Legal business name

JONATHAN NOBLE, M.D., INC.

Practice address

2500 Milvia St
Suite 218
Berkeley, CA 94704-2636

Phone

(510) 848-7070

Fax

(510) 848-5500

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonthan Noble, M.D.

Title

President

Phone

(510) 848-7070

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Phelps, PA-C

  • Physician Assistant
  • Berkeley, CA
  • NPI 1528396868
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912003757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MILVIA ST",
            "address_2": "SUITE 218",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042636",
            "telephone_number": "510-848-7070",
            "fax_number": "510-848-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MILVIA ST",
            "address_2": "SUITE 218",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042636",
            "telephone_number": "510-848-7070",
            "fax_number": "510-848-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN NOBLE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "JONTHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-848-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G17043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIN - BCBS ID",
            "identifier": "9427077583",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnston Orthopedic & Medical Supply, Inc.
• Katherine Johnston, MD
• Sofia Johnston
• Kevin L Joiner, APNP
• Daniel Jolles, OTR/L, OTD
• Alexandria M Jones-Carter
• Alan Jones
• Alice A Jones, M. D.
• Amber Jones, A.M., LCSW
• Charlissa Jones

• Internal Medicine Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.