NPIMap

Individual provider Active NPI

Jennifer Diane Haggerty, M.D.

  • Family Medicine Physician
  • Los Gatos, CA
National Provider Identifier
1366779977
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A104935 Issued in CA
Practice address
15251 National Ave Unit 104
Los Gatos, CA 95032-2400
Phone
(408) 358-7360
Fax
(408) 358-7357
NPI assigned
Nov 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A104935 CA Primary

Addresses

Primary practice location

15251 National Ave Unit 104
Los Gatos, CA 95032-2400

Mailing address

14901 National Ave Ste 101
Los Gatos, CA 95032-2637
Phone (408) 358-7360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000677 CA Practitioner - Family Practice 1153465976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Los Gatos Premier Medicine PCGroup PAC ID 3375924210, 3 clinicians

Practice addresses (Care Compare)

14901 National Ave
Suite 101
Los Gatos, CA 95032-2637
Phone (408) 358-7360

15251 National Ave
Suite 104
Los Gatos, CA 95032-2400

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Saratoga, CA, CCN 757662
  • VN Home Health Care Home health agency, San Jose, CA, CCN 058278
  • Pathways Home Health and Hospice Home health agency, Sunnyvale, CA, CCN 057190
  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A104935CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of California Incorporated CurrentSince Jul 10, 2019 Accepting new patients
Los Gatos Premier Medicine PC Family Medicine CurrentSince Jun 9, 2022 Accepting new patients
Woods and Warshal Medical Group Inc CurrentSince Aug 1, 2017 Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

14901 National Ave
Ste 101
Los Gatos, CA 95032
Phone (408) 345-5925

15251 National Ave
Ste 104
Los Gatos, CA 95032
Phone (408) 358-7360

400 Race St
Ste 101
San Jose, CA 95126
Phone (408) 963-2800

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cupertino Healthcare & Wellness CenterCupertino, CA, CCN 055407 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Feb 4, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1366779977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 NATIONAL AVE STE 101",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322637",
            "telephone_number": "408-358-7360",
            "fax_number": "408-358-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15251 NATIONAL AVE UNIT 104",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322400",
            "telephone_number": "408-358-7360",
            "fax_number": "408-358-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A104935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.