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

Jonathan Tabor

Individual provider Independent Duty Corpsman · NPI 1477347334

Jonathan Tabor is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

34101 Farenholt Ave
San Diego, CA 92134-7000
Phone: (161) 953-2796
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1477347334
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

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