JONATHAN NUCUM
NPI 1770859027
Student in an Organized Health Care Education/Training Program in Santa Clara, CA

Active since March 30, 2012PECOS EnrolledAccepts Medicare Assignment
710 LAWRENCE EXPY, GME DEPT. 384, SANTA CLARA, CA 95051(408) 851-3834 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Nucum NPPES

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

JONATHAN NUCUM (NPI 1770859027) is an individual student in an organized health care education/training program in Santa Clara, California and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2012).

NPPES Registry Identity

NPI1770859027
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN NUCUM
Location Address710 LAWRENCE EXPY, GME DEPT. 384Santa Clara, CA 95051-5173
Mailing Address710 Lawrence Expy, Gme Dept. 384Santa Clara, CA 95051-5173
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2012
Enumeration DateMarch 30, 2012
Last NPPES UpdateDecember 15, 2021
NPI 1770859027 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.
710 LAWRENCE EXPY, Santa Clara, CA 95051

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan Nucum is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234451204
PECOS Enrollment IDI20170605002633
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.

Nurse Practitioner (Family)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Student in an Organized Health Care Education/Training Program
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Dietitian, Registered
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Physical Therapist
710 LAWRENCE EXPY, DEPT. #174
SANTA CLARA, CA 95051
Podiatrist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Internal Medicine (Gastroenterology)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Physical Therapist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Obstetrics & Gynecology
710 LAWRENCE EXPY
SANTA CLARA, CA 95051

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 Nucum's NPI number?

The NPI number for Jonathan Nucum is 1770859027. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Where is Jonathan Nucum located?

Jonathan Nucum practices at 710 Lawrence Expy Gme Dept. 384, Santa Clara, CA 95051. The listed phone number is (408) 851-3834.

What is Jonathan Nucum'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 Nucum enrolled in Medicare?

Yes. Jonathan Nucum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Nucum was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.