DR. JONATHAN BOURNE M.D.
NPI 1013062660
Anesthesiology in Mammoth Lakes, CA

Q: What is Jonathan Bourne's NPI number?

The NPI number for Jonathan Bourne is 1013062660. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Jonathan Bourne's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Bourne was last updated on July 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 24, 2007PECOS Enrolled

85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546(760) 924-4078(760) 924-4058 Get Directions Write a Review

NPPES record last updated: July 23, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Jonathan Bourne M.d. NPPES

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

DR. JONATHAN BOURNE M.D. (NPI 1013062660) is an individual anesthesiology provider in Mammoth Lakes, California, licensed in California (G48548) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013062660

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. JONATHAN BOURNECredential: M.D.

Location Address85 SIERRA PARK RDMammoth Lakes, CA 93546-0660

Mailing AddressPo Box 660, 85 Sierra Park RdMammoth Lakes, CA 93546-0660 · (760) 924-4078 · Fax (760) 924-4058

Phone(760) 924-4078

Fax(760) 924-4058

Sole ProprietorYes

Enumeration DateJanuary 24, 2007

Last NPPES UpdateJuly 23, 2010

✔ NPI 1013062660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in CA · G48548

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

85 SIERRA PARK RD, Mammoth Lakes, CA 93546

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Bourne M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

PHYLLIS LEE MENESES RN

Registered Nurse (Registered Nurse First Assistant)