Individual
DR. JONATHAN TODD ENGELHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 GRANT RD, MOUNTAIN VIEW, CA 94040
(650) 940-7000
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32462
AZ
207P00000X
Emergency Medicine Physician
Primary
A89837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39-81220
EVERCARE GROUP
AZ
01
—
453051001
GROUP HEALTH GROUP
AZ
01
—
86-0373636
HUMANA GROUP
AZ
05
—
884016
—
AZ
01
—
AW1436
HEALTHNET GROUP
AZ
01
—
AZ0728670
BLUECROSS/BLUESHIELD GRP
AZ
Enumeration date
11/07/2005
Last updated
09/30/2019
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