Active NPI
Alpha Telemedicine, PC
- Family Medicine Physician
- Palo Alto, CA
National Provider Identifier
1811637242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ALPHA TELEMEDICINE, PC
- Practice address
- 555 Bryant St Ste 814
Palo Alto, CA 94301-1704 - Phone
- (415) 663-5584
- Fax
- (844) 640-3975
- NPI assigned
- Apr 1, 2022
- Last updated
- Jan 17, 2023
- 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. Mary Therese Jacobson, MD
- Title
- Chief Medical Officer
- Phone
- (415) 663-5584
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Physician Assistant | 363A00000X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
555 Bryant St Ste 814
Palo Alto, CA 94301-1704
Mailing address
555 Bryant St Ste 814
Palo Alto, CA 94301-1704
Other practice location 1
3327 Brighton Blvd
Denver, CO 80216-5020
Phone (415) 663-5584
National Provider Directory
National Provider DirectoryLocations
555 Bryant St
Palo Alto, CA 94301
Phone (415) 663-5584
3327 Brighton Blvd
Denver, CO 80216
Phone (415) 663-5584
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Denver, CO
- NPI 1477047504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673913600000",
"number": "1811637242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 BRYANT ST STE 814",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943011704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 BRYANT ST STE 814",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943011704",
"telephone_number": "415-663-5584",
"fax_number": "844-640-3975"
}
],
"practiceLocations": [
{
"address_1": "3327 Brighton Blvd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802165020",
"country_code": "US",
"telephone_number": "415-663-5584",
"fax_number": "844-640-3975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALPHA TELEMEDICINE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-01",
"last_updated": "2023-01-17",
"certification_date": "2022-04-09",
"status": "A",
"authorized_official_last_name": "JACOBSON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "THERESE",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "415-663-5584",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.