JONATHAN OBED BARBOZA MD
NPI 1154957074
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
7060 CLAIREMONT MESA BLVD FL 6, SAN DIEGO, CA 92111(858) 573-6409 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2021, Mar 23, 2020 (2 updates tracked since 2020).

About Jonathan Obed Barboza Md NPPES

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

JONATHAN OBED BARBOZA MD (NPI 1154957074) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154957074
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN OBED BARBOZACredential: MD
Location Address7060 CLAIREMONT MESA BLVD FL 6San Diego, CA 92111-1003
Mailing Address7060 Clairemont Mesa Blvd Fl 6San Diego, CA 92111-1003 · (858) 573-6409
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2020
NPI 1154957074 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.
7060 CLAIREMONT MESA BLVD FL 6, San Diego, CA 92111

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

Jonathan Obed Barboza Md 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 ID9537526629
PECOS Enrollment IDI20231030000846
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

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 Barboza's NPI number?

The NPI number for Jonathan Barboza is 1154957074. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Jonathan Barboza located?

Jonathan Barboza practices at 7060 Clairemont Mesa Blvd Fl 6, San Diego, CA 92111. The listed phone number is (858) 573-6409.

What is Jonathan Barboza's specialty?

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

Is Jonathan Barboza enrolled in Medicare?

Yes. Jonathan Barboza 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 Jonathan Barboza was last updated on December 3, 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.