Individual provider Active NPI

Kristin Jones

  • Student in an Organized Health Care Education/Training Program
  • San Jose, CA
National Provider Identifier
1083213979
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1400 Parkmoor Ave Ste 115
San Jose, CA 95126-3797
Phone
(408) 971-9822
Fax
(408) 510-3484
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1400 Parkmoor Ave Ste 115
San Jose, CA 95126-3797

Mailing address

1400 Parkmoor Ave Ste 115
San Jose, CA 95126-3797
Phone (408) 971-9822

Other practice location 1

2198 Cayuga Ave
San Francisco, CA 94112-4023
Phone (703) 629-6974

Other practice location 2

16759 Los Reyes Ave
San Leandro, CA 94578-2425
Phone (703) 629-6974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Care Group PastSince Nov 3, 2019 Accepting new patients
The Unity Care Group Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1083213979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PARKMOOR AVE STE 115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263797",
            "telephone_number": "408-971-9822",
            "fax_number": "408-510-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PARKMOOR AVE STE 115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263797",
            "telephone_number": "408-971-9822",
            "fax_number": "408-510-3484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2198 Cayuga Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941124023",
            "country_code": "US",
            "telephone_number": "703-629-6974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16759 Los Reyes Ave",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945782425",
            "country_code": "US",
            "telephone_number": "703-629-6974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.