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Active NPI 1992158653 Individual Practitioner Male Practitioner

Jonathan Wibisono , NP

Nurse Practitioner • Beaumont, CA

Professional Overview & Biography Verified Profile Summary

Jonathan Wibisono, NP is a registered healthcare professional specializing in Nurse Practitioner in Beaumont, CA. Practice services are available at 851 E 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

851 E 6th St
Suite B-4

Beaumont, CA 922232340

Telephone 9518452294
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Beaumont, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Beaumont, CA (8378 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95004343

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1255369252

Doctor of Chiropractic

NPI 1538192034

Doctor of Chiropractic

Harmony Dick , HIS

Hearing Instrument Specialist

NPI 1568840056
Blair Baker , MPT

Physical Therapist

NPI 1962411199

Master of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2016

Registered at 851 E 6TH ST, SUITE B-4, BEAUMONT, CA 922232340 (Tel: 9518452294)

📍
Updated Business Mailing Address July 18, 2016

Registered at 851 E 6TH ST, SUITE B-4, BEAUMONT, CA 922232340 (Tel: 9518452294)

👤
Provider Name / Credentials Updated July 18, 2016

Recorded as JONATHAN WIBISONO, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2016

Nurse Practitioner (License #95004343 in CA)

🟢
Initial NPI Registration & Enumeration July 18, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992158653
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2016
Last Update: July 18, 2016
Sole Proprietor: Yes

Mailing Address

851 E 6th St, Suite B-4

Beaumont, CA 922232340

Phone: 9518452294

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.