Individual provider Active NPI

Jedediah Muir Hooper, M.D.

  • Child & Adolescent Psychiatry Physician
  • East Palo Alto, CA
National Provider Identifier
1144300690
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A93285 Issued in CA
Practice address
2415 University Ave
East Palo Alto Community Counselling - 3Rd Floor
East Palo Alto, CA 94303-1164
Phone
(650) 773-1471
Fax
(650) 489-1320
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A93285 CA
Child & Adolescent Psychiatry Physician 2084P0804X A93285 CA Primary

Addresses

Primary practice location

2415 University Ave
East Palo Alto Community Counselling - 3Rd Floor
East Palo Alto, CA 94303-1164

Mailing address

2415 University Ave
East Palo Alto Community Counselling - 3Rd Floor
East Palo Alto, CA 94303-1164
Phone (650) 773-1471

Other names 1

  • Muir J Hooper Other name

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

LicenseStateTypeSpecialty
A93285CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1144300690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY AVE",
            "address_2": "EAST PALO ALTO COMMUNITY COUNSELLING - 3RD FLOOR",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031164",
            "telephone_number": "650-773-1471",
            "fax_number": "650-489-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY AVE",
            "address_2": "EAST PALO ALTO COMMUNITY COUNSELLING - 3RD FLOOR",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031164",
            "telephone_number": "650-773-1471",
            "fax_number": "650-489-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "JEDEDIAH",
        "middle_name": "MUIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A93285",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A93285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUIR",
            "last_name": "HOOPER",
            "middle_name": "J",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.