Active NPI
Jacob C Langer, MD
- Pediatric Surgery Physician
- Palo Alto, CA
National Provider Identifier
1114385440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- C133908
- Practice address
- 730 Welch Rd
Palo Alto, CA 94304-1503 - Phone
- (650) 724-5356
- NPI assigned
- Feb 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 35.134003 | OH | |
| Pediatric Surgery Physician | 2086S0120X | C133908 | CA | Primary |
| Pediatric Surgery Physician | 2086S0120X | 35.134003 | OH | |
| Pediatric Surgery Physician | 2086S0120X | MD101895 | MO |
Addresses
Primary practice location
730 Welch Rd
Palo Alto, CA 94304-1503
Mailing address
77 Wembley Rd
Toronto, ONTARIO M6C2G3
CA
Phone (416) 813-7340
Other practice location 1
555 S 18th St
Columbus, OH 43205-2654
Phone (614) 722-6200
Other practice location 2
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0388604 | Medicaid | OH | |
| H707190 | Other | OH | CGS - MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C133908 | CA | MD | Pediatric Surgery Physician |
| MD101895 | MO | MD | Pediatric Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1114385440",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "77 WEMBLEY RD",
"city": "TORONTO",
"state": "ONTARIO",
"postal_code": "M6C2G3",
"telephone_number": "416-813-7340",
"fax_number": "416-813-7477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041503",
"telephone_number": "650-724-5356"
}
],
"practiceLocations": [
{
"address_1": "555 S 18th St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052654",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Childrens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052664",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGER",
"first_name": "JACOB",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-01",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "OH",
"license": "35.134003",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "CA",
"license": "C133908",
"primary": true
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "OH",
"license": "35.134003",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "MO",
"license": "MD101895",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0388604",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CGS - MEDICARE",
"identifier": "H707190",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.