Individual provider Active NPI

Jean Skoglund Abbe, M.D.

  • Occupational Medicine Physician
  • San Francisco, CA
National Provider Identifier
1316163231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
G15774 Issued in CA
Practice address
450 Golden Gate Ave
Room 5284
San Francisco, CA 94102-3661
Phone
(415) 436-7910
Fax
(415) 436-7917
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X G15774 CA Primary

Addresses

Primary practice location

450 Golden Gate Ave
Room 5284
San Francisco, CA 94102-3661

Mailing address

1218 Hawthorne St
Alameda, CA 94501-3973
Phone (510) 865-7453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G15774CAMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316163231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 HAWTHORNE ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013973",
            "telephone_number": "510-865-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GOLDEN GATE AVE",
            "address_2": "ROOM 5284",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023661",
            "telephone_number": "415-436-7910",
            "fax_number": "415-436-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBE",
        "first_name": "JEAN",
        "middle_name": "SKOGLUND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G15774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.