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JONATHAN THYGESON MD INC
NPI 1679041172
Pediatrics in Sacramento, CA

Active since November 02, 2018CLIA 05D2087564 · Waiver
755 UNIVERSITY AVE, SACRAMENTO, CA 95825(916) 924-8754(916) 924-1739 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2021, Nov 2, 2018 (2 updates tracked since 2018).

About Jonathan Thygeson Md Inc NPPES

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

JONATHAN THYGESON MD INC (NPI 1679041172) is a healthcare organization registered as a pediatrics in Sacramento, California and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through November 30, 2026, maintains a secondary practice location in Carmichael, and lists Jonathan E Thygeson, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1679041172
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameJONATHAN E THYGESON, M.D., INC., A MEDICAL CORPORATION
Location Address755 UNIVERSITY AVESacramento, CA 95825-6708
Mailing Address755 University AveSacramento, CA 95825-6708 · (916) 924-8754 · Fax (916) 924-1739
Phone(916) 924-8754
Fax(916) 924-1739
Organization SubpartYes
Authorized OfficialJonathan E ThygesonMd/owner · (916) 924-8754
Enumeration DateNovember 2, 2018
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1679041172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
755 UNIVERSITY AVE, Sacramento, CA 95825
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Other Names 2

Doing Business AsJonathan Thygeson Md Inc
Doing Business AsAmerican River Pediatric And Adolescent Medicine

Secondary Practice Location 1

Location 16357 Coyle AveCarmichael, CA 95608-0478 · Phone (916) 924-8754 · Fax (916) 924-1739

Other Identifiers 4

Other1154494543CA · Don R Van Schenck
Other1811990625AZ · Philip Traquair
Other1790744704Jonathan E Thygeson
Other1578504379VA · Marketa Leisure Md

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2087564

Jonathan Thygeson, M.D., Inc · Sacramento, CA
Active · expires Nov 30, 2026
CLIA Number05D2087564
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorJonathan E. Thygeson
Laboratory Phone(916) 924-8754
Laboratory LocationJonathan Thygeson, M.D., Inc755 University Ave, Sacramento, CA 95825
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

CINDY YAEWON THYGESON MD
Psychiatry & Neurology (Psychiatry)
755 UNIVERSITY AVE
SACRAMENTO, CA 95825
Sacramento County (916) 580-5769
GARY ALLEN TRUBELL PT
Physical Therapist
755 UNIVERSITY AVE
SACRAMENTO, CA 95825
Sacramento County (916) 927-1333
ANNA LEMOS P.T.
Physical Therapist
755 UNIVERSITY AVE
SACRAMENTO, CA 95825
Sacramento County (916) 927-1333
ANDREW TAI P.T.
Physical Therapist
755 UNIVERSITY AVE
SACRAMENTO, CA 95825
Sacramento County (916) 927-1333
MARKETA KYNCL LEISURE M.D.
Pediatrics
755 UNIVERSITY AVE
SACRAMENTO, CA 95825
Sacramento County (916) 924-8754
DR. PHILIP S TRAQUAIR MD
Pediatrics
755 UNIVERSITY AVE
SACRAMENTO, CA 95825
Sacramento County (916) 924-8754

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 E Thygeson, M.D., Inc., A Medical Corporation's NPI number?

The NPI number for Jonathan E Thygeson, M.D., Inc., A Medical Corporation is 1679041172. It was assigned to this organization in the NPPES registry on November 2, 2018. The provider is doing business as Jonathan Thygeson MD Inc and American River Pediatric and Adolescent Medicine.

Where is Jonathan E Thygeson, M.D., Inc., A Medical Corporation located?

Jonathan E Thygeson, M.D., Inc., A Medical Corporation is located at 755 University Ave, Sacramento, CA 95825. The listed phone number is (916) 924-8754.

What is Jonathan E Thygeson, M.D., Inc., A Medical Corporation's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Jonathan E Thygeson, M.D., Inc., A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2087564) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jonathan E Thygeson, M.D., Inc., A Medical Corporation was last updated on April 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.