Jerry a. Hanson, M.D. a Professional Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

C33389 Issued in CA

Legal business name

JERRY A. HANSON, M.D. A PROFESSIONAL CORPORATION

Practice address

2030 Forest Ave
Ste. 210
San Jose, CA 95128-4833

Phone

(408) 295-2257

Fax

(408) 295-2264

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Alan Hanson, M.D.

Title

President

Phone

(048) 295-2257

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1215137963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 FOREST AVE",
            "address_2": "STE. 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284833",
            "telephone_number": "408-295-2257",
            "fax_number": "408-295-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 FOREST AVE",
            "address_2": "STE. 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284833",
            "telephone_number": "408-295-2257",
            "fax_number": "408-295-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY A. HANSON, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "048-295-2257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "C33389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skye Jensen
• William Albert Jensen, MD
• Albert Jeon, MD
• Sehyun Jeong, RPH
• Catherine Foley Jerman, MD
• Jerry L. Callaway M.D., Inc
• Jesse Rosete DDS Inc
• Elizabeth Jessen
• Natasha Jeswani, LCSW
• Grady Lynn Jeter, M.D.

• Medical Specialty Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.