Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Johnathan Emad Agil, MD

Individual provider General Practice Physician · NPI 1700413002

Johnathan Emad Agil, MD practises 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 →

Practice location Address checks out

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

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients631
Services billed 985 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Providence Medical Foundation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1465 clinicians in the practice; 12 are shown here.

Other providers in Santa Rosa