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

Jonathan Shi Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104612019

Jonathan Shi Jr. is a Student in an Organized Health Care Education/Training Program in Oakland, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1411 E 31st St
Oakland, CA 94602-1018
Phone: (510) 437-4800
Fax: (510) 535-7313
Show map & directions

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 number1104612019
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2025
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

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