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

Jonathan Phuong

Individual provider Diagnostic Radiology Physician · NPI 1205290574

Jonathan Phuong is a Diagnostic Radiology in Stanford, California. Graduated from University of California, San Francisco School of Medicine in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2016

Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

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

Additional practice locations (1)

  • 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 — (951) 788-3000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A152191 (CA)

Record details

NPI number1205290574
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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