Active NPI
Attigupam R Jayaram, M.D.
- Neurology Physician
- Livermore, CA
National Provider Identifier
1144279951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A25987
- Practice address
- 1250 Concannon Blvd
Livermore, CA 94550-6002 - Phone
- (925) 455-5914
- Fax
- (925) 455-5020
- NPI assigned
- May 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A25987 | CA | Primary |
Addresses
Primary practice location
1250 Concannon Blvd
Livermore, CA 94550-6002
Mailing address
1250 Concannon Blvd
Livermore, CA 94550-6002
Phone (925) 455-5914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3012516 | Medicaid | CA |
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 |
|---|---|---|---|
| A25987 | CA | MD | Neurology Physician |
| 25987 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427846400000",
"number": "1144279951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 CONCANNON BLVD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945506002",
"telephone_number": "925-455-5914",
"fax_number": "925-455-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 CONCANNON BLVD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945506002",
"telephone_number": "925-455-5914",
"fax_number": "925-455-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYARAM",
"first_name": "ATTIGUPAM",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2015-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A25987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3012516",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
- Jagtar S Dhesi DC a Chiropractic Corp
- Vandana Jain, MD
- Jason Hsiao Dental Corporation (Valley Family Dentistry)
- Daniel A. Jason, D.C.
- Jaime Jasser-Stone, PH.D., LMHC, LPCC
- Jenni Low Occupational Therapy
- Scott W Jennings, MSPT
- Pamela Rosemary Jetter, OD
- Xiao Jin, L.AC.
- John & Elizabeth Nguyen Dental Corp (Yosemite Dental Arts)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.