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JONATHAN WIBISONO NP
NPI 1992158653
Nurse Practitioner in Beaumont, CA

Active since July 18, 2016
851 E 6TH ST, SUITE B-4, BEAUMONT, CA 92223(951) 845-2294 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Wibisono Np NPPES

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

JONATHAN WIBISONO NP (NPI 1992158653) is an individual nurse practitioner in Beaumont, California, licensed in California (95004343) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1992158653
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJONATHAN WIBISONOCredential: NP
Location Address851 E 6TH ST, SUITE B-4Beaumont, CA 92223-2340
Mailing Address851 E 6th St, Suite B-4Beaumont, CA 92223-2340 · (951) 845-2294
Phone(951) 845-2294
Sole ProprietorYes
Enumeration DateJuly 18, 2016
✔ NPI 1992158653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95004343
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
851 E 6TH ST, Beaumont, CA 92223
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Other Providers at the Same Location NPPES 7

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

SLEEPMED THERAPIES INC
Durable Medical Equipment & Medical Supplies
851 E 6TH ST, A3
BEAUMONT, CA 92223
Riverside County (978) 536-7400
JERILYNN SUE KAIBEL D.C.
Chiropractor
851 E 6TH ST, SUITE B-1
BEAUMONT, CA 92223
Riverside County (951) 845-1931
XCEL ORTHOPEDIC & SPORTS PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
851 E 6TH ST, SUITE A-4
BEAUMONT, CA 92223
Riverside County (951) 769-8555
CURTIS RAY SALLEY D.C.
Chiropractor
851 E 6TH ST, SUITE B-1
BEAUMONT, CA 92223
Riverside County (951) 845-1931
HARMONY DICK HIS
Hearing Instrument Specialist
851 E 6TH ST, SUITE B-2
BEAUMONT, CA 92223
Riverside County (951) 769-5583
SLEEPMED OF CALIFORNIA INC
Clinic/Center (Sleep Disorder Diagnostic)
851 E 6TH ST, #A3
BEAUMONT, CA 92223
Riverside County (978) 536-7400
BLAIR A BAKER MPT
Physical Therapist
851 E 6TH ST, SUITE A-4
BEAUMONT, CA 92223
Riverside County (951) 769-8555

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 Wibisono's NPI number?

The NPI number for Jonathan Wibisono is 1992158653. It was assigned to this individual provider in the NPPES registry on July 18, 2016.

Where is Jonathan Wibisono located?

Jonathan Wibisono practices at 851 E 6th St Suite B-4, Beaumont, CA 92223. The listed phone number is (951) 845-2294.

What is Jonathan Wibisono's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Wibisono was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.