Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063447647 Individual Practitioner Male Practitioner

Jonathan K Stobaugh , PA-C

Physician Assistant • San Bernardino, CA

Professional Overview & Biography Verified Profile Summary

Jonathan Stobaugh, PA-C is a registered healthcare professional specializing in Physician Assistant in San Bernardino, CA. Practice services are available at 401 E HIGHLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 E Highland Ave
Suite 251

San Bernardino, CA 924043803

Telephone 9098824605
Fax 9094752680
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in San Bernardino, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
85 Specialists

Practicing in San Bernardino, CA (14617 Statewide)

Telehealth Adoption Rate
0.0% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA10962

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
PA10962 (CA)

Practice Associates & Co-Workers

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

13 Associated Practitioners
Dr. Michio Kajitani , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1194704387

Doctor of Medicine (M.D.)

Robert Parkinson , PA-C

Physician Assistant

NPI 1245261494

Physician Assistant (Certified)

Nahidh Hasaniya , MDPHD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1316973605
William Schlegel , PA-C

Physician Assistant

NPI 1437472867

Physician Assistant (Certified)

Gregory Mitchell , PA-C

Physician Assistant

NPI 1477636496

Physician Assistant (Certified)

Dr. Keith Schauermann , MD

Obstetrics & Gynecology

NPI 1538119318

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active September 21, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address September 21, 2017

Registered at 3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 956707956

📍
Updated Practice Location September 21, 2017

Registered at 401 E HIGHLAND AVE, SUITE 251, SAN BERNARDINO, CA 924043803 (Tel: 9098824605)

👤
Provider Name / Credentials Updated September 21, 2017

Recorded as JONATHAN STOBAUGH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2017

Physician Assistant (License #PA10962 in CA)

NPI Profile Active May 30, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2008

Registered at 401 E HIGHLAND AVE, SUITE 251, SAN BERNARDINO, CA 924043803 (Tel: 9098811614)

📍
Updated Business Mailing Address May 30, 2008

Registered at 401 E HIGHLAND AVE, SUITE 251, SAN BERNARDINO, CA 924043803 (Tel: 9098811614)

👤
Provider Name / Credentials Updated May 30, 2008

Recorded as JONATHAN STOBAUGH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2008

Physician Assistant (License #PA10962 in CA)

🟢
Initial NPI Registration & Enumeration July 11, 2006

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: 1063447647
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2006
Last Update: September 21, 2017
Sole Proprietor: No

Mailing Address

3400 Data Dr, Attn: Credentialing/payer Enrollment

Rancho Cordova, CA 956707956

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.