James A Cisco, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G26973 Issued in CA

Practice address

1300 Crane Street
Menlo Park, CA 94025-4429

Phone

(650) 498-6500

NPI assigned

Dec 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 4, 2016 through Jan 4, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: james.cisco@1442246492164.direct.elationemr.com

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306902150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60000 FILE # 72484",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941600001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CRANE STREET",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254429",
            "telephone_number": "650-498-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISCO",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G26973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Sun-Myung Chung, DDS
• Fiona Chung
• Riley Chycota
• Katarzyna M Ciesielski, MD
• Linda Cintron, MD
• Isha A Clark, M.D.
• Jessica Rain Clark, LMFT
• Edgar Neil Infante Claveria Jr., P.T.
• Shawndell Kalisha Clay, PSY.D.
• Karli Erin Cleary, DO

• Pediatrics Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.