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

Jonathan Utulo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215203484

Jonathan Utulo is a Family Practice in Northridge, California. Qualified in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2012
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Practice location Address checks out

18406 Roscoe Blvd
Northridge, CA 91325-4107
Phone: (818) 885-8500
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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 number1215203484
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2012
Last updated in NPPESDecember 8, 2021
Mailing address18406 Roscoe Blvd, Northridge, CA 91325-4107

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Northridge