JONATHAN ETKIN
NPI 1174976047
Student in an Organized Health Care Education/Training Program in San Mateo, CA

Active since July 15, 2016
2600 S EL CAMINO REAL, SAN MATEO, CA 94403(650) 373-0777 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Etkin NPPES

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

JONATHAN ETKIN (NPI 1174976047) is an individual student in an organized health care education/training program in San Mateo, California and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1174976047
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN ETKIN
Location Address2600 S EL CAMINO REALSan Mateo, CA 94403-2380
Mailing Address623 Capp StSan Francisco, CA 94110-2509
Sole ProprietorNo
Enumeration DateJuly 15, 2016
NPI 1174976047 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.
2600 S EL CAMINO REAL, San Mateo, CA 94403

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.

Case Manager/Care Coordinator
2600 S EL CAMINO REAL
SAN MATEO, CA 94403
Counselor (Mental Health)
2600 S EL CAMINO REAL, STE 200
SAN MATEO, CA 94403
Registered Nurse
2600 S EL CAMINO REAL, STE 200
SAN MATEO, CA 94403
Counselor (Addiction (Substance Use Disorder))
2600 S EL CAMINO REAL
SAN MATEO, CA 94403
Counselor (Mental Health)
2600 S EL CAMINO REAL
SAN MATEO, CA 94403
Marriage & Family Therapist
2600 S EL CAMINO REAL, SUITE 200
SAN MATEO, CA 94403
Marriage & Family Therapist
2600 S EL CAMINO REAL, SUITE 200
SAN MATEO, CA 94403
Counselor (Mental Health)
2600 S EL CAMINO REAL, SUITE 200
SAN MATEO, CA 94403

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 Etkin's NPI number?

The NPI number for Jonathan Etkin is 1174976047. It was assigned to this individual provider in the NPPES registry on July 15, 2016.

Where is Jonathan Etkin located?

Jonathan Etkin practices at 2600 S El Camino Real, San Mateo, CA 94403. The listed phone number is (650) 373-0777.

What is Jonathan Etkin's specialty?

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

When was this NPI record last updated?

The NPPES record for Jonathan Etkin was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.