Individual provider Active NPI

Jennifer Lesley Maw, MD

  • Specialist
  • San Jose, CA
National Provider Identifier
1609989417
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A657850 Issued in CA
Practice address
3071 Payne Ave
San Jose, CA 95128-4054
Phone
(408) 540-5400
Fax
(408) 540-5419
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A657850 CA Primary

Addresses

Primary practice location

3071 Payne Ave
San Jose, CA 95128-4054

Mailing address

3071 Payne Ave
San Jose, CA 95128-4054
Phone (408) 540-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040126000708 CA Practitioner - OtolaryngologyPractitioner - Other (Physician) 4880596139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

15899 Los Gatos Almaden Rd
Suite 12
Los Gatos, CA 95032-3739
Phone (408) 358-2663

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

3071 Payne Ave
San Jose, CA 95128-4054
Phone (408) 540-5400

365 Lennon LN
Walnut Creek, CA 94598-5915

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A657850CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Jennifer Maw, M.D., Inc Specialist CurrentSince Jan 1, 1999 Accepting new patients
Bass Medical Group CurrentSince Jun 1, 2018 Accepting new patients
El Camino Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients
Bass Medical Group Past Accepting new patients
O'Connor Hospital Past Accepting new patients
Bass Medical Group Specialist Past Accepting new patients

Locations

3351 El Camino Real
Ste 200
Atherton, CA 94027
Phone (650) 387-5223

15899 Los Gatos Almaden Rd
Ste 12
Los Gatos, CA 95032
Phone (408) 358-2663

1174 Castro St
Ste 200
Mountain View, CA 94040
Phone (408) 645-7800

2400 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 403-5996

3071 Payne Ave
San Jose, CA 95128
Phone (408) 540-5400

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jmaw120672@ehr.johnmuirhealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1609989417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 PAYNE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284054",
            "telephone_number": "408-540-5400",
            "fax_number": "408-540-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 PAYNE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284054",
            "telephone_number": "408-540-5400",
            "fax_number": "408-540-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAW",
        "first_name": "JENNIFER",
        "middle_name": "LESLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A657850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.