Active NPI
Mehrnaz Jamali MD Inc
- Internal Medicine Physician
- Pleasanton, CA
National Provider Identifier
1003825175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A53933
- Legal business name
- MEHRNAZ JAMALI MD INC
- Practice address
- 5000 Pleasanton Ave Ste 110
Pleasanton, CA 94566-7052 - Phone
- (925) 484-4406
- Fax
- (925) 484-0346
- NPI assigned
- Aug 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marjan Loghgman
- Title
- Cfo
- Phone
- (858) 335-3110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A53933 | CA | Primary |
Addresses
Primary practice location
5000 Pleasanton Ave Ste 110
Pleasanton, CA 94566-7052
Mailing address
5000 Pleasanton Ave Ste 110
Pleasanton, CA 94566-7052
Phone (858) 335-3310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FR493A | Other | CA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
7041 Koll Center Pkwy
Ste 110
Pleasanton, CA 94566
Phone (925) 484-4406
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Pleasanton, CA
- NPI 1770857856
-
- Dentist
- Pleasanton, CA
- NPI 1588784540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630454400000",
"number": "1003825175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 PLEASANTON AVE STE 110",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945667052",
"telephone_number": "858-335-3310",
"fax_number": "949-831-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 PLEASANTON AVE STE 110",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945667052",
"telephone_number": "925-484-4406",
"fax_number": "925-484-0346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEHRNAZ JAMALI MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-06",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A",
"authorized_official_last_name": "LOGHGMAN",
"authorized_official_first_name": "MARJAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "858-335-3110"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A53933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "FR493A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.