Marilee Catherine Jasan, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G072240 Issued in CA

Practice address

311 Miller Ave
Suite I
Mill Valley, CA 94941-2844

Phone

(415) 388-5100

Fax

(415) 388-5155

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hand & Microsurgery Medical Group, Inc

  • Orthopaedic Hand Surgery Physician
  • San Francisco, CA
  • NPI 1558436253
  NPD (past)
• Sutter Bay Medical Foundation

  dba Sutter Pacific Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1003267196
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093894016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MILLER AVE",
            "address_2": "SUITE I",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412844",
            "telephone_number": "415-388-5100",
            "fax_number": "415-388-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MILLER AVE",
            "address_2": "SUITE I",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412844",
            "telephone_number": "415-388-5100",
            "fax_number": "415-388-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASAN",
        "first_name": "MARILEE",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G072240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Brokaw Jacobs, LCSW
• Spencer Barrett Jacobs, MFT
• Howard Jaffe, M.D.
• Farnaz Faye Jamali, MD
• Janice Tomita PT & Associates
• Jean S. Brennan O.D., a Professional Corp.
• Jennifer Lin OD a Professional Corporation (Wink Optometry)
• Alison Johnston, NBC-HWC
• Michelle Binder Jonelis, M.D.
• Mikayla Jones, DPT

• Orthopaedic Surgery Physician in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.