Active NPI
Robert Janssen, M.D.
- Neurology Physician
- Berkeley, CA
National Provider Identifier
1508170259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 031949
- Practice address
- 2929 Seventh St
Suite 100
Berkeley, CA 94710 - Phone
- (510) 665-0414
- NPI assigned
- Aug 4, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 031949 | GA | Primary |
Addresses
Primary practice location
2929 Seventh St
Suite 100
Berkeley, CA 94710
Mailing address
642 Greenwich LN
Foster City, CA 94404-3617
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031949 | GA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1508170259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 GREENWICH LN",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "944043617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 SEVENTH ST",
"address_2": "SUITE 100",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94710",
"telephone_number": "510-665-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSSEN",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-04",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "031949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.