JSM Southbay, PC

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

A66219 Issued in CA

Legal business name

JSM SOUTHBAY, PC

Doing business as

JumpstartMD

Practice address

14777 Los Gatos Blvd
Suite 105
Los Gatos, CA 95032-2059

Phone

(925) 287-8777

NPI assigned

Dec 15, 2011

Organization subpart

No

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

Authorized official

Name

Conrad Lai, MD

Title

Coo

Phone

(925) 287-8777

Specialties & licenses 2

Addresses

Other names 1

• JumpstartMD Doing business as

Locations

Practitioners 1

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

• Roshni Balkrishna Desai, PA-C

  • Physician Assistant
  • Los Gatos, CA
  • NPI 1548562671
  NPD (past)

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1780953042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 PRICE AVE",
            "address_2": "SECOND FLOOR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631464",
            "telephone_number": "925-287-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14777 LOS GATOS BLVD",
            "address_2": "SUITE 105",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322059",
            "telephone_number": "925-287-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSM SOUTHBAY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "925-287-8777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A66219",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "CA",
            "license": "A66219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JumpstartMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca A Jones
• Michelle Kim Joo
• Avery Joseph, DO
• Linda Honey Joshua, NP,RN
• Paula Valerie Jossan, M.D.
• Isabel Juang
• Jeffrey C Juanlu, D.O.
• Shiwani Juneja, NP
• Dianne Jurgensen, D.C.
• K Andruska MD PHD PC (California Movement Disorders Center)

• Obesity Medicine (Family Medicine) Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Obesity Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.