JONATHAN OBED BARBOZA MD
NPI 1154957074
Student in an Organized Health Care Education/Training Program in San Diego, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Barboza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Jonathan Barboza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Barboza reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Barboza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Jonathan Obed Barboza, MD · NPI 1154957074
Student in an Organized Health Care Education/Training Program provider in San Diego, California. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1154957074 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 7060 CLAIREMONT MESA BLVD FL 6, San Diego, CA 92111-1003
- **Phone:** (858) 573-6409
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1023425972, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1154957074) · Data from the CMS NPPES public registry.