Jonathan Tiago Avila
Pediatrician Adolescent Medicine
1195 W Fremont Ave Fl 2
Sunnyvale
, California 94087-3832
Jonathan Tiago Avila
Pediatrician Adolescent Medicine
1195 W Fremont Ave Fl 2
Sunnyvale
, California 94087-3832
(650) 736-7706
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Jonathan Tiago Avila
- 770 Welch Rd Ste 100 Stanford University - Division Of Adolescent Medicine
- Palo Alto, CA
- Zip : 94304
- Fax : (650) 736-7706
- Phone : (650) 736-9557
Second Address
- Jonathan Tiago Avila
- 1195 W Fremont Ave Fl 2
- Sunnyvale, CA
- Zip : 94087-3832
- Phone : (408) 425-5593
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | A139957 | CA |
| Y | 2080A0000X | Adolescent Medicine | A139957 | CA |
National Provider Identifier
| NPI | 1063754745 |
|---|---|
| Provider Name | Jonathan Tiago Avila |
| First Address | Palo Alto, CA 94304 |
| Second Address | Sunnyvale, CA 94087-3832 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2013 |
| Last Update Date | 03/07/2019 |
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.