Individual provider Active NPI

Jacqueline Ann Jayan, M.D.

  • Internal Medicine Physician
  • Danville, CA
National Provider Identifier
1780001792
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A149047 Issued in CA
Practice address
915 San Ramon Valley Blvd
Danville, CA 94526-4062
Phone
(925) 875-3750
NPI assigned
Mar 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A149047 CA Primary

Addresses

Primary practice location

915 San Ramon Valley Blvd
Danville, CA 94526-4062

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (925) 875-3750

Other practice location 1

701 E El Camino Real
Mountain View, CA 94040-2833
Phone (650) 934-7808

Other names 1

  • Jacqueline Ann Mulee Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171019001965 CA Practitioner - Internal Medicine 9638445695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

100 N Milpitas Blvd
Milpitas, CA 95035-4499
Phone (800) 478-8837

2441 Mission College Blvd
Santa Clara, CA 95054-1214
Phone (800) 478-8837

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200

4050 Dublin Blvd
Dublin, CA 94568-3112
Phone (925) 875-6100

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

899 Valencia St
San Francisco, CA 94110-1736
Phone (415) 600-6960

915 San Ramon Valley Blvd
Danville, CA 94526-4062
Phone (925) 875-3750

Hospital & facility affiliations

  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A149047CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Sep 11, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 11, 2017 Accepting new patients
El Camino Hospital Past Accepting new patients
Sutter East Bay Medical Foundation Internal Medicine Past Accepting new patients

Locations

915 San Ramon Valley Blvd
Danville, CA 94526
Phone (925) 875-3750

915 San Ramon Valley Blvd
Ste 100
Danville, CA 94526
Phone (925) 875-3750

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

701 E El Camino Real
Mountain View, CA 94040
Phone (650) 404-8370

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: jmulee374115@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1780001792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "925-875-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SAN RAMON VALLEY BLVD",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264062",
            "telephone_number": "925-875-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 E El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940402833",
            "country_code": "US",
            "telephone_number": "650-934-7808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAYAN",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A149047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "MULEE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.