Active NPI
Jennifer Anne Logan, DO
- Neuromusculoskeletal Medicine & OMM Physician
- Palo Alto, CA
National Provider Identifier
1407092034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 20A 8230
- Practice address
- 359 Middlefield Rd
Palo Alto, CA 94301-1345 - Phone
- (650) 323-7345
- NPI assigned
- Jan 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 20A 8230 | CA | Primary |
Addresses
Primary practice location
359 Middlefield Rd
Palo Alto, CA 94301-1345
Mailing address
359 Middlefield Rd
Palo Alto, CA 94301-1345
Phone (650) 323-7345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 8, 2020 through Oct 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A 8230 | CA | MD | Neuromusculoskeletal Medicine & OMM Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230940800000",
"number": "1407092034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 MIDDLEFIELD RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943011345",
"telephone_number": "650-323-7345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 MIDDLEFIELD RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943011345",
"telephone_number": "650-323-7345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-03",
"last_updated": "2009-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "CA",
"license": "20A 8230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.