Organization Active NPI

Jeffrey a. Diamond DDS, Inc.

  • General Practice Dentistry
  • Los Altos, CA
National Provider Identifier
1306354089
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JEFFREY A. DIAMOND DDS, INC.
Practice address
158 2ND St
Los Altos, CA 94022-2818
Phone
(650) 948-0786
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Julie Loya
Title
Business Manager
Phone
(650) 948-0786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 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

Other names 1

  • Legacy Dental Care Doing business as

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.

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": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1306354089",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. DIAMOND DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "LOYA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "650-948-0786"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 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.