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

Johnathan Emad Agil, MD

Individual provider General Practice Physician · NPI 1700413002

Johnathan Emad Agil, MD is an Emergency Medicine in Santa Rosa, California. Qualified in 2020, 6 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
6
Licensed in
CA, FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone: (707) 525-5300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 401 Bicentennial Way, Santa Rosa, CA 95403-2149 — (707) 393-4044

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A183723 (CA)
General Practice Physician Taxonomy 208D00000X · Licence ME158567 (FL)

Record details

NPI number1700413002
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023
Mailing address1165 Montgomery Dr, Santa Rosa, CA 95405-4801

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Rosa