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JON ROBERT BOURDON PA-C
NPI 1114684628
Physician Assistant in Yokosuka, KANAGAWA

Active since November 18, 2021
82 INAOKACHO, YOKOSUKA, KANAGAWA 96350(989) 802-1128 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2025, Jul 27, 2023, Mar 1, 2023 and 1 more (4 updates tracked since 2021).

About Jon Robert Bourdon Pa-c NPPES

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

JON ROBERT BOURDON PA-C (NPI 1114684628) is an individual physician assistant in Yokosuka, KANAGAWA, licensed in California (PA62553) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1114684628
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJON ROBERT BOURDONCredential: PA-C
Location Address82 INAOKACHOYokosuka, KANAGAWA 96350
Mailing AddressPsc 475 Box 1Fpo, AP 96350-1200
Phone(989) 802-1128
Sole ProprietorNo
Enumeration DateNovember 18, 2021
Last NPPES UpdateJuly 29, 20254 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1114684628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA62553
Definition
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.

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 Jon Bourdon's NPI number?

The NPI number for Jon Bourdon is 1114684628. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Jon Bourdon located?

Jon Bourdon practices at 82 Inaokacho, Yokosuka, KANAGAWA 96350. The listed phone number is (989) 802-1128.

What is Jon Bourdon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jon Bourdon was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.