Joseph Edward Addiego Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A22935 Issued in CA

Practice address

19 Monte Ave
Piedmont, CA 94611-3716

Phone

(510) 653-2891

Fax

(510) 653-2891

NPI assigned

Jul 10, 2007

Last updated

Jul 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1336347483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MONTE AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946113716",
            "telephone_number": "510-653-2891",
            "fax_number": "510-653-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MONTE AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946113716",
            "telephone_number": "510-653-2891",
            "fax_number": "510-653-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDIEGO",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A22935",
            "primary": true
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CA",
            "license": "A22935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Rose Agolia, MD
• Jenine Rene Arizmendi
• Lucy Arney, LCSW
• Michelle N. Baker, MFT
• Stephanie Blair Baker, L. AC.

• Family Medicine Physician in Piedmont, CA
• Providers in Piedmont, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.