JSMD PC

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

Legal business name

JSMD PC

Doing business as

JumpstartMD, Inc.

Practice address

350 Lorton Avenue
Burlingame, CA 94010-4104

Phone

(650) 241-6508

Fax

(925) 482-1195

NPI assigned

Dec 30, 2011

Last updated

Jun 23, 2016By 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

Mr. Sean E. Bourke, M.D.

Title

Co-Founder and Medical Director

Phone

(650) 241-6508

Specialties & licenses 3

Addresses

Other names 1

• JumpstartMD, Inc. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Anne McMichael, NP

  • Family Nurse Practitioner
  • Burlingame, CA
  • NPI 1104220144
  NPD (past)

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1578833059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117627",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940117627",
            "telephone_number": "650-241-6508",
            "fax_number": "925-482-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LORTON AVENUE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104104",
            "telephone_number": "650-241-6508",
            "fax_number": "925-482-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "BOURKE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CO-FOUNDER AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "650-241-6508",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "CA",
            "license": "A66219",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JumpstartMD, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Nicole Jordan, NP
• Richard Thomas Jordan, M.D.
• Leena M Joshi, M.D.
• Joshua Froerer D.D.S., a.P.C.
• Kimberly A Jower, RD
• Janie Jun, PH.D.
• Richard Jung, MD
• Andrew Henry Jurow, M.D.
• Felicia Juse-Kelly
• Rajvi D Kadakia, PA-C

• Obesity Medicine (Family Medicine) Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Obesity Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.