January Clinic, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JANUARY CLINIC, P.A.

Practice address

1259 El Camino Real # 231
Menlo Park, CA 94025-4208

Phone

(561) 901-1741

NPI assigned

Dec 23, 2020

Last updated

Dec 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Haleh Agdassi, MD

Title

President

Phone

(561) 901-1741

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1518554674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 EL CAMINO REAL # 231",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254208",
            "telephone_number": "561-901-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 EL CAMINO REAL # 231",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254208",
            "telephone_number": "561-901-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANUARY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "AGDASSI",
        "authorized_official_first_name": "HALEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-901-1741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anupam Jayaram, M.D.
• Linda Jenks

• Internal Medicine Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.