Active NPI
Wilfred Edward Jaeger, M.D.
- Health Educator
- Portola Valley, CA
National Provider Identifier
1427340306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 3200 Alpine Rd
Portola Valley, CA 94028-7523 - Phone
- (650) 529-8000
- NPI assigned
- May 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
3200 Alpine Rd
Portola Valley, CA 94028-7523
Mailing address
3200 Alpine Rd
Portola Valley, CA 94028-7523
Phone (650) 529-8000
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)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1427340306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 ALPINE RD",
"city": "PORTOLA VALLEY",
"state": "CA",
"postal_code": "940287523",
"telephone_number": "650-529-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 ALPINE RD",
"city": "PORTOLA VALLEY",
"state": "CA",
"postal_code": "940287523",
"telephone_number": "650-529-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAEGER",
"first_name": "WILFRED",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-10",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portola Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.