MR. JARED THOMAS BUNDE RN, PHN
NPI 1629425004
Registered Nurse in Fairfield, CA

Active since May 16, 2016
1101 B GALE WILSON BLVD, FAIRFIELD, CA 94533(707) 646-5000 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 22, 2026, May 16, 2016 (2 updates tracked since 2016).

About Mr. Jared Thomas Bunde Rn, Phn NPPES

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

MR. JARED THOMAS BUNDE RN, PHN (NPI 1629425004) is an individual registered nurse in Fairfield, California, licensed in California (95029154) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1629425004
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameMR. JARED THOMAS BUNDECredential: RN, PHN
Location Address1101 B GALE WILSON BLVDFairfield, CA 94533-3700
Mailing Address1101 B Gale Wilson BlvdFairfield, CA 94533-3700 · (706) 646-5000
Sole ProprietorNo
Enumeration DateMay 16, 2016
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
NPI 1629425004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in CA · 95029154
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 545142 (CA)
1101 B GALE WILSON BLVD, Fairfield, CA 94533

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1101 B GALE WILSON BLVD, STE 203
FAIRFIELD, CA 94533
Clinic/Center (Magnetic Resonance Imaging (MRI))
1101 B GALE WILSON BLVD, SUITE 100
FAIRFIELD, CA 94533
Family Medicine
1101 B GALE WILSON BLVD, SUITE 307
FAIRFIELD, CA 94533
Radiology (Diagnostic Radiology)
1101 B GALE WILSON BLVD, SUITE 100
FAIRFIELD, CA 94533
Physical Therapist
1101 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Physical Therapist
1101 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Speech-Language Pathologist
1101 B GALE WILSON BLVD, SUITE 101A
FAIRFIELD, CA 94533
Physical Therapist
1101 B GALE WILSON BLVD, SUITE 101A
FAIRFIELD, CA 94533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629425004, enumerated as an "individual" on May 16, 2016.

The provider is located at 1101 B GALE WILSON BLVD FAIRFIELD, CA 94533 and the phone number is (707) 646-5000.

Registered Nurse with taxonomy code 163W00000X.