George Jaber, D.D.S.

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

62479 Issued in CA

Practice address

4804 Mission St Ste 123
San Francisco, CA 94112-3469

Phone

(650) 922-6587

NPI assigned

Jul 4, 2013

Last updated

Oct 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1396185369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 MISSION ST STE 123",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941123469",
            "telephone_number": "213-342-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 MISSION ST STE 123",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941123469",
            "telephone_number": "650-922-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABER",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-04",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CA",
            "license": "62479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Ja, DDS
• Tamara Ja, L.AC., DIPL.OM, CMT
• Melissa Jaballas, DPM
• Jabari Reeves MD Medical Corporation
• Remy Sharon Jabbour, MFTI
• Janine Jaber, DPT
• John F Jaber, D.D.S.
• Amir Ali Jaberizadeh
• David M Jablons, MD
• Kate Jablonski, PSYD

• Dental Anesthesiology in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dental Anesthesiology in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.