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

Jonathan Nissanoff, MD

Individual provider Specialist · NPI 1134135155

Jonathan Nissanoff, MD is an Orthopedic Surgery in Poway, California. Graduated from State University of New York Downstate Medical Center in 1992, 34 years ago. Practices as a sole proprietor and offers telehealth. Licensed in California.

Years since qualifying
34
Trained at
State University of New York Downstate Medical Center
Licensed in
CA
In the registry since
2006
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

15525 Pomerado Rd Ste E6
Poway, CA 92064-2427
Phone: (858) 451-2280
Fax: (858) 451-2006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G82348 (CA)

Record details

NPI number1134135155
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 31, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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