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: August 30, 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
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

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

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.

Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD
SACRAMENTO, CA 95817
Surgery
2335 STOCKTON BLVD
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD
SACRAMENTO, CA 95817
Surgery (Surgical Critical Care)
2335 STOCKTON BLVD, NAOB 5TH FLOOR
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD, NORTH ADDITION, 5TH FLOOR
SACRAMENTO, CA 95817
Surgery (Surgical Critical Care)
2335 STOCKTON BLVD
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD
SACRAMENTO, CA 95817

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 Hyde's NPI number?

The NPI number for Jonathan Hyde is 1396370409. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Jonathan Hyde located?

Jonathan Hyde practices at 2335 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-2724.

What is Jonathan Hyde'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 Hyde enrolled in Medicare?

Yes. Jonathan Hyde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Hyde was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.