Provider Demographics
NPI:1245205632
Name:UY, JONATHAN J (DPM)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:J
Last Name:UY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3383 SHOAL RIV
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-2127
Mailing Address - Country:US
Mailing Address - Phone:415-713-2892
Mailing Address - Fax:
Practice Address - Street 1:1601 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-9487
Practice Address - Country:US
Practice Address - Phone:530-879-5048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4181213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E41810Medicaid
CA3983160001Medicare NSC
CA480032477Medicare ID - Type UnspecifiedRR MEDICARE
CAU73802Medicare UPIN
CA000E41813Medicare PIN
CA480032477Medicare ID - Type UnspecifiedRR MEDICARE
CA3983160001Medicare NSC
CA000E41810Medicare ID - Type UnspecifiedMEDICARE SF COUNTY