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

Jonathon Douglas Porter, DO

Individual provider Psychiatry Physician · NPI 1033461884

Jonathon Douglas Porter, DO is a Psychiatry in Roseville, California. Qualified in 2015, 11 years ago. Practices with Mark David Levine MD Professional Corporation, a 157-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1420 Rocky Ridge Dr Ste 120
Roseville, CA 95661-2834
Phone: (855) 501-1004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 20A12424 (CA)

Record details

NPI number1033461884
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 3, 2012
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address3835 N Freeway Blvd Ste 100, Sacramento, CA 95834-1954

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mark David Levine Md Professional Corporation — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Roseville