Ida Jahed, MD, Inc.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

IDA JAHED, MD, INC.

Practice address

5555 Montgomery Dr
Santa Rosa, CA 95409-8846

Phone

(707) 538-8400

NPI assigned

Nov 25, 2014

Organization subpart

No

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

Authorized official

Name

Ida Jahed, MD

Title

Sole Manager

Phone

(216) 386-7221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1174920771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 MILLBROOK DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954047613",
            "telephone_number": "216-386-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954098846",
            "telephone_number": "707-538-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDA JAHED, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "JAHED",
        "authorized_official_first_name": "IDA",
        "authorized_official_title_or_position": "SOLE MANAGER",
        "authorized_official_telephone_number": "216-386-7221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analis Merced Ibarra
• Catalina Ibarra
• Yesenia Ibarra, AMFT
• Andrea Nixt Ibbison, CRNA
• Brian S Icke, D.C.
• Alexander Paul Iezza, M.D.
• Jo Ellen Ihinger
• Joshua Abueg Ilustre, MD
• Audri Im
• Anina Christine Imhof, PT, DPT

• Geriatric Medicine (Internal Medicine) Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.