Active NPI
Jaagmd
- Clinical Neurophysiology Physician
- Sunnyvale, CA
National Provider Identifier
1750301271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- G830270
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angela Anagnos, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G830270 | Other | CA | BLUE SHIELD |
| 00G830271 | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- San Jose, CA
- NPI 1174542047
Clinical Neurophysiology
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.