Organization Active NPI

Jeanette Rhoads Margolin, M.D.Inc

  • Psychiatry Physician
  • Kentfield, CA
National Provider Identifier
1457654709
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G20288 Issued in CA
Legal business name
JEANETTE RHOADS MARGOLIN, M.D.INC
Practice address
1036 Sir Francis Drake Blvd
Kentfield, CA 94904-1427
Phone
(415) 457-4408
Fax
(415) 456-9840
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Dr. Jeanette Rhoads Margolin, M.D.
Title
President
Phone
(415) 457-4408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X G20288 CA Primary

Addresses

Primary practice location

1036 Sir Francis Drake Blvd
Kentfield, CA 94904-1427

Mailing address

1036 Sir Francis Drake Blvd
Kentfield, CA 94904-1427
Phone (415) 457-4408

Other identifiers 1

IdentifierTypeStateIssuer
1447299243OtherCANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1457654709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 SIR FRANCIS DRAKE BLVD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041427",
            "telephone_number": "415-457-4408",
            "fax_number": "415-456-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 SIR FRANCIS DRAKE BLVD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041427",
            "telephone_number": "415-457-4408",
            "fax_number": "415-456-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE RHOADS MARGOLIN, M.D.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "MARGOLIN",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "RHOADS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-457-4408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G20288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447299243",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.