Anjali Jagdish Javdekar, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

13192 Issued in CA

Practice address

3618 Klein CT
San Jose, CA 95148-2251

Phone

(408) 274-1337

Fax

(408) 885-7934

NPI assigned

Sep 27, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1740277474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 KLEIN CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482251",
            "telephone_number": "408-274-1337",
            "fax_number": "408-885-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 KLEIN CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482251",
            "telephone_number": "408-274-1337",
            "fax_number": "408-885-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVDEKAR",
        "first_name": "ANJALI",
        "middle_name": "JAGDISH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "13192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Women's Health Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.