Jeffrey J. Guttas. MD, Inc.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

G612560 Issued in CA

Legal business name

JEFFREY J. GUTTAS. MD, INC.

Practice address

100 S San Mateo Dr
Ste 400
San Mateo, CA 94401-3805

Phone

(650) 696-4101

Fax

(650) 696-4121

NPI assigned

Jun 8, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Janice NG

Title

Billing Manager

Phone

(650) 696-4101

Specialties & licenses 1

Addresses

Other identifiers 6

Tax ID family

Jeffrey J Guttas MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jeffrey J. Guttas, M.D. a Medical Corporation

  • Cardiovascular Disease Physician
  • San Mateo, CA
  • NPI 1891866869
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey John Guttas, M.D.

  • Cardiovascular Disease Physician
  • San Mateo, CA
  • NPI 1093726895
  NPD

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073517009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S SAN MATEO DR",
            "address_2": "STE 400",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013805",
            "telephone_number": "650-696-4101",
            "fax_number": "650-696-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SAN MATEO DR",
            "address_2": "STE 400",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013805",
            "telephone_number": "650-696-4101",
            "fax_number": "650-696-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J. GUTTAS. MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "650-696-4101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G612560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G612560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0716704",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0732307",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "ZZZ52816Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G612561",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0718408",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniella Geluz Javinal
• Sagrika Jawadi
• Christina Faith Jee, MPT
• Mark Anthony Jefferson Jr., MFTI
• Jeffrey J. Guttas, M.D. a Medical Corporation
• Jeffrey R. Weiner, M.D., Inc.
• David Jegge
• Paul Jemelian, MD
• Melinda Rose Jenkins
• Patricia L Jenkins, RN

• Allergy & Immunology Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.