Organization Active NPI

Jaagmd

  • Clinical Neurophysiology Physician
  • Sunnyvale, CA
National Provider Identifier
1750301271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
G830270 Issued in CA
Legal business name
JAAGMD
Practice address
1309 S Mary Ave
Suite Number 135
Sunnyvale, CA 94087-3050
Phone
(408) 245-1300
Fax
(408) 245-1305
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Angela Anagnos, M.D.NPI 1174542047
Title
President
Phone
(408) 378-4434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X G830270 CA Primary

Addresses

Primary practice location

1309 S Mary Ave
Suite Number 135
Sunnyvale, CA 94087-3050

Mailing address

94 Amato Ave
Campbell, CA 95008-1805
Phone (408) 378-4434

Other identifiers 2

IdentifierTypeStateIssuer
00G830270OtherCABLUE SHIELD
00G830271OtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750301271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 AMATO AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081805",
            "telephone_number": "408-378-4434",
            "fax_number": "408-245-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S MARY AVE",
            "address_2": "SUITE NUMBER 135",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873050",
            "telephone_number": "408-245-1300",
            "fax_number": "408-245-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAAGMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANAGNOS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-378-4434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "G830270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G830270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G830271",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.