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JONATHAN R HYDE
NPI 1396370409
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 09, 2020PECOS Enrolled
2335 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-2724 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2021, Mar 9, 2020 (2 updates tracked since 2020).

About Jonathan R Hyde NPPES

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

JONATHAN R HYDE (NPI 1396370409) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396370409
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN R HYDE
Location Address2335 STOCKTON BLVDSacramento, CA 95817
Mailing Address2335 Stockton Blvd, 5th FloorSacramento, CA 95817 · (916) 734-2724
Phone(916) 734-2724
Sole ProprietorNo
Enumeration DateMarch 9, 2020
Last NPPES UpdateMay 5, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1396370409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.

2335 STOCKTON BLVD, Sacramento, CA 95817
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Secondary Practice Locations 2

Location 1550 1st AveNew York, NY 10016-6402 · Phone (703) 380-0285
Location 24323 40th St Apt 6DLong Island City, NY 11104-3817 · Phone (703) 380-0285

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan R Hyde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

DATTESH RAJENDRA DAVE
Surgery (Plastic and Reconstructive Surgery)
2335 STOCKTON BLVD, 6TH FLOOR, 6011-3
SACRAMENTO, CA 95817
Sacramento County (916) 734-7289
BOB KIAII MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2335 STOCKTON BLVD, 6TH FLOOR
SACRAMENTO, CA 95817
Sacramento County (916) 734-3861
DR. JESSICA BOWMAN
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD, NORTH ADDITION, 5TH FLOOR
SACRAMENTO, CA 95817
Sacramento County (916) 734-2724
LEAH ANDREA PEL TIMBANG
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD, NORTH ADDITION 5TH FLOOR
SACRAMENTO, CA 95817
Sacramento County (916) 734-2816
DEVON ANDERSON MD
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD, 5TH FLOOR
SACRAMENTO, CA 95817
Sacramento County (916) 734-2724
DR. YASAMIN TAGHIKHAN
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD, NORTH ADDITION, 5TH FLOOR
SACRAMENTO, CA 95817
Sacramento County (916) 734-2680
NATALIE MICHELLE LIU
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD, NORTH ADDITION 5TH FLOOR
SACRAMENTO, CA 95817
Sacramento County (916) 734-2724
SPENCER M BROWN MD
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2724

Frequently Asked Questions

What is Jonathan Hyde's NPI number?

The NPI number assigned to this healthcare provider is 1396370409, enumerated as an "individual" on March 09, 2020.

Where is the provider located?

The provider is located at 2335 STOCKTON BLVD SACRAMENTO, CA 95817 and the phone number is (916) 734-2724.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.