JDD Medical Group Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

JDD MEDICAL GROUP INC

Practice address

1674 Story Rd
San Jose, CA 95122-2102

Phone

(408) 254-1500

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James Donald Dibdin, M.D.

Title

President

Phone

(408) 254-1500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1235397571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 STORY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222102",
            "telephone_number": "408-254-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 STORY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222102",
            "telephone_number": "408-254-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDD MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "DIBDIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-254-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay the Eye Doctor Optometric Corporation
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• Vivek Jayaraman, DO
• Jayne Marsh LMFT
• Karli Michele Jayne
• Alisa Jean
• Christalyn Jeanne, RN
• Gabrielle Jeanpierre
• Sofia Alena Jeanpierre
• Rebecca Jedel, PHD

• Health Service Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.