DR. JONATHAN DIETZ D.O.
NPI 1366566499
Family Medicine - Adult Medicine in San Rafael, CA

Q: What is Jonathan Dietz's NPI number?

The NPI number for Jonathan Dietz is 1366566499. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Q: What is Jonathan Dietz's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Dietz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 16, 2007

540 D ST, 2, SAN RAFAEL, CA 94901(415) 459-7416 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jonathan Dietz D.o. NPPES

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

DR. JONATHAN DIETZ D.O. (NPI 1366566499) is an individual adult medicine provider in San Rafael, California, licensed in California (20A7626) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1366566499

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameDR. JONATHAN DIETZCredential: D.O.

Location Address540 D ST, 2San Rafael, CA 94901-3867

Mailing Address540 D St, 2San Rafael, CA 94901-3867 · (415) 459-7416

Phone(415) 459-7416

Sole ProprietorYes

Enumeration DateMarch 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1366566499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in CA · 20A7626

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

540 D ST, San Rafael, CA 94901

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Other Identifiers 1

Other09171981NM · Son's Birth

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 Dietz's NPI number?

The NPI number for Jonathan Dietz is 1366566499. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Jonathan Dietz located?

Jonathan Dietz practices at 540 D St 2, San Rafael, CA 94901. The listed phone number is (415) 459-7416.

What is Jonathan Dietz's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Jonathan Dietz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.