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

Dr. Jonathan Mitry, MD, MSC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104406974

Dr. Jonathan Mitry, MD, MSC is a Family Practice in Pasadena, California. Qualified in 2021, 5 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3280 E Foothill Blvd
Pasadena, CA 91107-3148
Phone: (833) 574-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104406974
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MSC
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing address3280 E Foothill Blvd, Pasadena, CA 91107-3148

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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