Organization Active NPI

Mehrnaz Jamali MD Inc

  • Internal Medicine Physician
  • Pleasanton, CA
National Provider Identifier
1003825175
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A53933 Issued in CA
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

Updated by the provider on Sep 1, 2021

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
FR493AOtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.