Dr. Jonathan Todd Engelhardt
Emergency Physician
2500 Grant Rd
Mountain View
, California 94040
Dr. Jonathan Todd Engelhardt
Emergency Physician
2500 Grant Rd
Mountain View
, California 94040
(510) 350-2600
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Jonathan Todd Engelhardt
- 2100 Powell St Ste 400
- Emeryville, CA
- Zip : 94608-1826
- Phone : (510) 350-2600
Second Address
- Dr. Jonathan Todd Engelhardt
- 2500 Grant Rd
- Mountain View, CA
- Zip : 94040
- Phone : (650) 940-7000
Reviews
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Is Dr. Jonathan Todd Engelhardt a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 32462 | AZ |
| Y | 207P00000X | Emergency Physician | A89837 | CA |
National Provider Identifier
| NPI | 1003897117 |
|---|---|
| Provider Name | Dr. Jonathan Todd Engelhardt |
| First Address | Emeryville, CA 94608-1826 |
| Second Address | Mountain View, CA 94040 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2005 |
| Last Update Date | 30/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 39-81220 | EVERCARE GROUP (01) | AZ |
| 453051001 | GROUP HEALTH GROUP (01) | AZ |
| 86-0373636 | HUMANA GROUP (01) | AZ |
| 884016 | (05) | AZ |
| AW1436 | HEALTHNET GROUP (01) | AZ |
| AZ0728670 | BLUECROSS/BLUESHIELD GRP (01) | AZ |
| I17874 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.