Active NPI
Jennifer Lesley Maw, MD
- Specialist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A657850
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.98 of 100
- Quality
- 80.39
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 62 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A657850 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Medical Group | Current | Accepting new patients | |
| Jennifer Maw, M.D., Inc | Specialist | Current | Accepting new patients |
| Bass Medical Group | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Walnut Creek, CA
- NPI 1174253405
-
- Specialist
- San Jose, CA
- NPI 1194749556
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- Pain Medicine Physician
- Visalia, CA
- NPI 1326409343
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- Critical Access Hospital
- Delhi, NY
- NPI 1801975156
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.