DR. JESSE EARL RATHBUN JR. M.D.
NPI 1114492162
Ophthalmology in Santa Rosa, CA

Active since October 05, 2018
1920 GRACE DR., SANTA ROSA, CA 95404(707) 528-1671 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jesse Earl Rathbun Jr. M.d. NPPES

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

DR. JESSE EARL RATHBUN JR. M.D. (NPI 1114492162) is an individual ophthalmology provider in Santa Rosa, California, licensed in California (A22086) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1114492162
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JESSE EARL RATHBUN JR.Credential: M.D.
Location Address1920 GRACE DR.Santa Rosa, CA 95404
Mailing Address1920 Grace Dr.Santa Rosa, CA 95404 · (707) 528-1671
Sole ProprietorYes
Enumeration DateOctober 5, 2018
NPI 1114492162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A22086
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License A22086 (CA)
1920 GRACE DR., Santa Rosa, CA 95404

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Jesse Rathbun's NPI number?

The NPI number for Jesse Rathbun is 1114492162. It was assigned to this individual provider in the NPPES registry on October 5, 2018.

Where is Jesse Rathbun located?

Jesse Rathbun practices at 1920 Grace Dr., Santa Rosa, CA 95404. The listed phone number is (707) 528-1671.

What is Jesse Rathbun's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Jesse Rathbun was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.