Provider Demographics
NPI:1124027495
Name:SAVELL, JONATHAN LEWIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:LEWIS
Last Name:SAVELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1687 RAMBLEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6027
Mailing Address - Country:US
Mailing Address - Phone:925-785-3075
Mailing Address - Fax:925-460-5040
Practice Address - Street 1:1687 RAMBLEWOOD WAY
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6027
Practice Address - Country:US
Practice Address - Phone:925-785-3075
Practice Address - Fax:925-460-5040
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG16091207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G160910Medicaid
A39700Medicare UPIN
CA00G160910Medicaid