Organization Active NPI

Jay Labourene

  • Vascular Surgery Physician
  • Tiburon, CA
National Provider Identifier
1225508385
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
JAY LABOURENE
Practice address
1550 G Tiburon Blvd
Tiburon, CA 94920-2531
Phone
(415) 872-0344
NPI assigned
Dec 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Jay Labourene, MDNPI 1215015847
Title
Owner
Phone
(415) 872-0344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

1550 G Tiburon Blvd
Tiburon, CA 94920-2531

Mailing address

1550 Tiburon Blvd Ste G
Tiburon, CA 94920-2531
Phone (415) 872-0344

National Provider Directory

National Provider Directory
Tax ID family
Jay Labourene2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1550 Tiburon Blvd
Ste G
Tiburon, CA 94920
Phone (415) 872-0344

1550G Tiburon Blvd
Tiburon, CA 94920
Phone (415) 872-0344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1225508385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 TIBURON BLVD STE G",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202531",
            "telephone_number": "415-872-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 G TIBURON BLVD",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202531",
            "telephone_number": "415-872-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY LABOURENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "LABOURENE",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-872-0344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiburon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.