Jasna B. Mrdjen, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A31833 Issued in CA

Practice address

14125 Capri Dr
Ste 1a
Los Gatos, CA 95032-1500

Phone

(408) 374-4423

Fax

(408) 374-2619

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1326071564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14125 CAPRI DR",
            "address_2": "STE 1A",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321500",
            "telephone_number": "408-374-4423",
            "fax_number": "408-374-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14125 CAPRI DR",
            "address_2": "STE 1A",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321500",
            "telephone_number": "408-374-4423",
            "fax_number": "408-374-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRDJEN",
        "first_name": "JASNA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A31833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A318330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen R. Mosher
• Sierra J Mosqueda
• Mahnaz Motayar, PH.D.
• Moving Mountains Physical Therapy
• Shannon Rae Moynahan, OTR/L
• Katherine Mullins
• Swati Hemant Mungekar, M.D.
• Robert Munoz
• Randy H. Murakami, DDS
• Marta C. Murawski, M.D.

• Physical Medicine & Rehabilitation Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.