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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891007456

Jonathan Khersonsky, MD is an Anesthesiology in Emeryville, California. Graduated from New York Medical College in 2010, 16 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment.

Years since qualifying
16
Trained at
New York Medical College
In the registry since
2010
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

6363 Christie Ave Apt 614
Emeryville, CA 94608-1917
Phone: (510) 437-4902
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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 number1891007456
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 11, 2010
Last updated in NPPESFebruary 11, 2022
Mailing address6363 Christie Ave Apt 614, Emeryville, CA 94608-1917

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2010 (16 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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