JON NOTHWANG (M.D.) – Anesthesiology Physician, NPI 1124182365

JON NOTHWANG (M.D.) is a healthcare provider. based in Ventura, California. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. G66219 (CA). The NPI Number for JON NOTHWANG (M.D.) is 1124182365

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
JON NOTHWANG (M.D.)
NPI
1124182365
Phone
(805) 642-8565
Address
3418 LOMA VISTA RD
Enumeration Date
21 December 2006
Last Update Date
29 July 2008

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
8056526000
Graduation Year
1988 (38 years ago)
PAC ID
1355431214
Group Practice PAC ID
7113173543
Professional Enrollment ID
I20071214000527
Address ID
CA930033099VE3291XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for JON NOTHWANG (M.D.)

  • 3418, Loma Vista Road, Ventura, Ventura County, California, 93003, United States

    SUITE A

    VENTURA, CA 93003

    Phone: (805) 642-8565

    Fax: (805) 642-8564

    Type: Mailing

  • Ventura County Medical Center, 3291, Loma Vista Road, Ventura, Ventura County, California, 93003, United States

    VENTURA, CA 93003

    Phone: (805) 642-8565

    Fax: (805) 642-8564

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071214000527IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113173543View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YTX
-CA
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

Can I verify JON NOTHWANG (M.D.) with an NPI only?
You can start verification with NPI 1124182365 for JON NOTHWANG (M.D.), then check state licensing separately.
Can I rely on JON NOTHWANG (M.D.) being an active provider?
As of the registry snapshot, JON NOTHWANG (M.D.) is marked active.
What is JON NOTHWANG (M.D.)'s specialty?
The listing groups JON NOTHWANG (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does JON NOTHWANG (M.D.) list a practice location?
Patients near Ventura, California may find JON NOTHWANG (M.D.) in results; validate coverage separately.
Why does JON NOTHWANG (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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