Adil K Jadallah, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A20855 Issued in CA

Practice address

1301 Shoreway Rd
Suite 100
Belmont, CA 94002-4151

Phone

(650) 596-7000

Fax

(650) 596-7093

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1780772376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 RALSTON AVENUE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "650-593-7643",
            "fax_number": "650-593-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHOREWAY RD",
            "address_2": "SUITE 100",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940024151",
            "telephone_number": "650-596-7000",
            "fax_number": "650-596-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADALLAH",
        "first_name": "ADIL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A20855",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Ingrao
• Daria Monica Ivan, MSPT, COMT
• Nicole Caroline Jackman, PT
• Marco A Jacobo, PA-C
• Patricia Diane Jacobs, LVN
• Pragya Jain, M.D.
• Ebony James
• Tracey Jedrzejek, MA, CLE, IBCLC
• Jin Healing Acupuncture
• Eric Johnson

• Family Medicine Physician in Belmont, CA
• Providers in Belmont, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.