Jennifer Lynn Tam Jewell-Larson, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND-328 Issued in CA

Practice address

1688 Willow Street
Suite C
San Jose, CA 95125

Phone

(408) 356-1364

Fax

(408) 462-6431

NPI assigned

Oct 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennifer Lynn Tam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694217600000",
    "number": "1699928952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 WILLOW STREET",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95125",
            "telephone_number": "408-356-1364",
            "fax_number": "408-462-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 WILLOW STREET",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95125",
            "telephone_number": "408-356-1364",
            "fax_number": "408-462-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL-LARSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN TAM",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TAM",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "N.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Naturopath in San Jose, CA
• Providers in San Jose, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2023; 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.