JONATHON REDWINE M.D.
NPI 1144201609
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
2315 STOCKTON BLVD, UCDMC SURGERY HOUSESTAFF OFFICE ROOM 6309, SACRAMENTO, CA 95817(916) 734-2724 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathon Redwine M.d. NPPES

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

JONATHON REDWINE M.D. (NPI 1144201609) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1144201609
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHON REDWINECredential: M.D.
Location Address2315 STOCKTON BLVD, UCDMC SURGERY HOUSESTAFF OFFICE ROOM 6309Sacramento, CA 95817-2201
Mailing Address2315 Stockton Blvd, Ucdmc Surgery Housestaff Office Room 6309Sacramento, CA 95817-2201 · (916) 734-2724
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 10, 2005
Last NPPES UpdateDecember 15, 2021
NPI 1144201609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2315 STOCKTON BLVD, Sacramento, CA 95817

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathon Redwine 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 ID7315136363
PECOS Enrollment IDI20110106000918
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.

Social Worker (Clinical)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Registered Nurse
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Emergency Medicine
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Specialist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Surgery (Pediatric Surgery)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Physical Therapy Assistant
2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817
Occupational Therapist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817

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 Jonathon Redwine's NPI number?

The NPI number for Jonathon Redwine is 1144201609. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Jonathon Redwine located?

Jonathon Redwine practices at 2315 Stockton Blvd Ucdmc Surgery Housestaff Office Room 6309, Sacramento, CA 95817. The listed phone number is (916) 734-2724.

What is Jonathon Redwine's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathon Redwine enrolled in Medicare?

Yes. Jonathon Redwine 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.

When was this NPI record last updated?

The NPPES record for Jonathon Redwine was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.