Jan S. Jurnecka, M.D., Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G52392 Issued in CA

Legal business name

JAN S. JURNECKA, M.D., INC.

Practice address

405 Skyward Dr
Aptos, CA 95003-3014

Phone

(831) 688-4034

NPI assigned

Nov 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jan Jurnecka

Title

President

Phone

(831) 688-4034

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1568763555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SKYWARD DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033014",
            "telephone_number": "831-688-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SKYWARD DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033014",
            "telephone_number": "831-688-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN S. JURNECKA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "JURNECKA",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-688-4034",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G52392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Aptos, CA
• Providers in Aptos, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.