Individual provider Active NPI

Jeffrey Stephen Javerbaum, M.D.

  • Neurology Physician
  • Menlo Park, CA
National Provider Identifier
1013006998
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G033682 Issued in CA
Practice address
695 Oak Grove Ave
Ste 310
Menlo Park, CA 94025
Phone
(650) 324-0700
Fax
(650) 324-0709
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G033682 CA Primary

Addresses

Primary practice location

695 Oak Grove Ave
Ste 310
Menlo Park, CA 94025

Mailing address

695 Oak Grove Ave
Ste 310
Menlo Park, CA 94025
Phone (650) 324-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000731 CA Practitioner - Neurology 6901085240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
George Washington University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1301 Shoreway Rd
Suite 100
Belmont, CA 94002-4110
Phone (650) 596-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G033682CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jun 17, 2016 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 17, 2016 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Sequoia Health Services Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Locations

1301 Shoreway Rd
Ste 100
Belmont, CA 94002
Phone (650) 596-7000

695 Oak Grove Ave
Ste 310
Menlo Park, CA 94025
Phone (650) 261-2366

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1013006998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 OAK GROVE AVE",
            "address_2": "STE 310",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "94025",
            "telephone_number": "650-324-0700",
            "fax_number": "650-324-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 OAK GROVE AVE",
            "address_2": "STE 310",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "94025",
            "telephone_number": "650-324-0700",
            "fax_number": "650-324-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVERBAUM",
        "first_name": "JEFFREY",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G033682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.