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DR. JONATHAN ANDREW PRINCE M.D.
NPI 1003830118
Emergency Medicine in Tarzana, CA

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
18321 CLARK ST, TARZANA, CA 91356(818) 708-5170(818) 705-2595 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jonathan Andrew Prince M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN ANDREW PRINCE M.D. (NPI 1003830118) is an individual emergency medicine provider in Tarzana, California, licensed in California (A90191) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1003830118
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JONATHAN ANDREW PRINCECredential: M.D.
Location Address18321 CLARK STTarzana, CA 91356-3501
Mailing AddressPo Box 660640Arcadia, CA 91066-0640 · (626) 447-0296 · Fax (626) 447-6057
Phone(818) 708-5170
Fax(818) 705-2595
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 26, 2006
Last NPPES UpdateJune 28, 2012
✔ NPI 1003830118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A90191
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
18321 CLARK ST, Tarzana, CA 91356
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Other Identifiers 4

Medicare UPINI35183CA
Medicare PINWA90191BCA
Medicare PINWA90191ACA
Medicaid00A901910CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Andrew Prince M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365470051
PECOS Enrollment IDI20050803000414
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Prince reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medlink Mobile
4.8 mi
Health Service
14545 FRIAR ST STE 302
Van Nuys, CA 91411
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1083448310 (818) 339-5056

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ART ONCOLOGY INC
Radiology (Diagnostic Radiology)
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (215) 313-0024
DR. NEIL ERIC CANBY M.D.
Emergency Medicine
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5170
KELLY ANN ARCHER KAMINSKI OTR/L
Occupational Therapist
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 881-0800
DR. FREDERICK THEODORE DENNIS M.D.
Emergency Medicine
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5170
KIMBERLY DANG PHAM
Pharmacist
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 881-0800
CAROL V GREENE NNP
Nurse Practitioner (Neonatal)
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5242
CARMEN BOTERO, MD
Pediatrics (Pediatric Critical Care Medicine)
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (208) 676-9080
JENNIFER LEVY MD
Pediatrics (Neonatal-Perinatal Medicine)
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 881-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Prince's NPI number?

The NPI number for Jonathan Prince is 1003830118. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Jonathan Prince located?

Jonathan Prince practices at 18321 Clark St, Tarzana, CA 91356. The listed phone number is (818) 708-5170.

What is Jonathan Prince's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jonathan Prince enrolled in Medicare?

Yes. Jonathan Prince is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jonathan Prince's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Prince reassigns Medicare benefits to Medlink Mobile (Van Nuys, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Prince's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Prince was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.