MEDICARE: JONATHAN DE JESUS CARDENAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1265035182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN DE JESUS CARDENAS

Provider Business Mailing Address
First Line	:	2624 C ST APT 9
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-1069
Country	:	US
Telephone Number	:	619-808-3430
Fax Number	:

Provider Business Practice Location Address
First Line	:	2624 C ST APT 9
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-1069
Country	:	US
Telephone Number	:	619-808-3430
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2020
Last Update Date	:	01/08/2021

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1619076635 — DR. SAMUEL HORACE WOOD M.D., PH.D.
Practice Location Address:

3420 CARMEL MOUNTAIN RD STE 200
SAN DIEGO, CA
92121-1069

Practice Phone: 858-267-4365
Practice Fax: 858-225-3535

1053717280 — BORREGO COMMUNITY HEALTH FOUNDATION
Practice Location Address:

955 HARBOR ISLAND DR , SUITE 155
SAN DIEGO, CA
92101-1069

Practice Phone: 619-344-2815
Practice Fax:

1164901237 — GEN 5 FERTILITY CENTER, P.C.
Practice Location Address:

3420 CARMEL MOUNTAIN RD STE 200
SAN DIEGO, CA
92121-1069

Practice Phone: 858-267-4365
Practice Fax:

1033968672 — KHADIJA DAMJI NURSE PRACTITIONER
Practice Location Address:

3420 CARMEL MOUNTAIN RD STE 200
SAN DIEGO, CA
92121-1069

Practice Phone: 858-267-4365
Practice Fax:

1639173982 — JORGE ALBERTO GARZA M.D.
Practice Location Address:

8019 S NEW BRAUNFELS STE 105
SAN ANTONIO, TX
78235-1069

Practice Phone: 210-304-8282
Practice Fax: 210-224-8801

Directions to “ JONATHAN DE JESUS CARDENAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.