Benjamin Jarrahi, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A100771 Issued in CA

Practice address

1744 Alcatraz Ave
Kiwi Pediatrics
Berkeley, CA 94703-2713

Phone

(510) 652-1720

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bjarrahi225603@hisp.ehr.sutterhealth.org

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.

• Kiwi Pediatrics Medical Group, Inc.

  • Pediatrics Physician
  • Berkeley, CA
  • NPI 1104861467
  NPD (past)
• Park Slope Physician Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1013018324
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1487734596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 ALCATRAZ AVE",
            "address_2": "KIWI PEDIATRICS",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032713",
            "telephone_number": "510-652-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 ALCATRAZ AVE",
            "address_2": "KIWI PEDIATRICS",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032713",
            "telephone_number": "510-652-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRAHI",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "2371471",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A100771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02682575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Andrew Janik, LCSW
• Gem Jankowski
• Meredith Janson, MFT
• Robert Janssen, M.D.
• Kalub J Jarosh, L.AC
• Richard Crocker Jarratt
• Esther Wong Jarvis, NP
• Neda Javadi
• Shahin M Javaheri, MD
• Yasmin Faridun Javed, OD

• Pediatrics Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.