Active NPI
Jane Maclean, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- San Jose, CA
National Provider Identifier
1356578843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- A113917
- Practice address
- 2577 Samaritan Drive
Suite 725
San Jose, CA 95124-4105 - Phone
- (408) 524-5700
- NPI assigned
- Jun 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | A113917 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2577 Samaritan Drive
Suite 725
San Jose, CA 95124-4105
Mailing address
2350 W. El Camino Real
2ND Floor
Mountain View, CA 94040-6203
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113917 | CA | MD | Marriage & Family Therapist |
| A113917 | CA | MD | Neurology with Special Qualifications in Child Neurology Physician |
Interoperability endpoints
- jmaclean290936@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1356578843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W. EL CAMINO REAL",
"address_2": "2ND FLOOR",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940406203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2577 SAMARITAN DRIVE",
"address_2": "SUITE 725",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244105",
"telephone_number": "408-524-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLEAN",
"first_name": "JANE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-11",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CA",
"license": "A113917",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.