Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Bourne, MD

Individual provider Anesthesiology Physician · NPI 1013062660

Dr. Jonathan Bourne, MD is an Anesthesiology Physician in Mammoth Lakes, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

85 Sierra Park Rd
Mammoth Lakes, CA 93546-0660
Phone: (760) 924-4078
Fax: (760) 924-4058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence G48548 (CA)

Record details

NPI number1013062660
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 24, 2007
Last updated in NPPESJuly 23, 2010
Mailing addressPo Box 660, 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660

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