Organization Active NPI

Jeffrey a. Diamond DDS, Inc.

  • Dental Clinic/Center
  • Los Altos, CA
National Provider Identifier
1255863122
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
64887 Issued in CA
Legal business name
JEFFREY A. DIAMOND DDS, INC.
Practice address
158 2ND St
Los Altos, CA 94022-2818
Phone
(650) 948-0786
Fax
(650) 948-1006
NPI assigned
Mar 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Authorized official

Name
Dr. Jeffrey A Diamond, DDS
Title
Owner
Phone
(650) 948-0786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 64887 CA Primary

Addresses

Primary practice location

158 2ND St
Los Altos, CA 94022-2818

Mailing address

158 2ND St
Los Altos, CA 94022-2818
Phone (650) 948-0786

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey a Diamond DDS Inc2 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

158 2nd St
Los Altos, CA 94022
Phone (650) 948-0786

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": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1255863122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 2ND ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222818",
            "telephone_number": "650-948-0786",
            "fax_number": "650-948-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 2ND ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222818",
            "telephone_number": "650-948-0786",
            "fax_number": "650-948-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. DIAMOND DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-948-0786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.