1. Home
  2. Directory
  3. California
  4. Oakland
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JONATHAN SETIAWAN
NPI 1477166593
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since August 28, 2020
280 17TH ST, OAKLAND, CA 94612(510) 238-5020 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2021, Aug 28, 2020 (2 updates tracked since 2020).

About Jonathan Setiawan NPPES

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

JONATHAN SETIAWAN (NPI 1477166593) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1477166593
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN SETIAWAN
Location Address280 17TH STOakland, CA 94612-4124
Mailing AddressPo Box 451Roseville, CA 95661-0451 · (415) 735-1935
Phone(510) 238-5020
Sole ProprietorNo
Enumeration DateAugust 28, 2020
Last NPPES UpdateJanuary 11, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1477166593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
280 17TH ST, Oakland, CA 94612
Open in Google Maps ↗

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.

MS. MARCELA L. PEREZ
Registered Nurse
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
XIANJA BARROW
Case Management
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
MRS. MARITZA COREA
Counselor (Mental Health)
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
NOEL MILAN
Counselor (Mental Health)
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
JAMES PRECOUR
Technician, Health Information
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
KRISTINA P SMITH
Counselor (Professional)
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 514-5948
MS. DESIREE ALVAREZ
Rehabilitation Practitioner
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
SYDNEY WILSON
Registered Nurse (Psychiatric/Mental Health)
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020

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 Setiawan's NPI number?

The NPI number for Jonathan Setiawan is 1477166593. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Jonathan Setiawan located?

Jonathan Setiawan practices at 280 17th St, Oakland, CA 94612. The listed phone number is (510) 238-5020.

What is Jonathan Setiawan'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 Setiawan was last updated on January 11, 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.