NPIMap

Organization Active NPI

Jumpstart Medicine PC

Doing business as JumpstartMD

  • Obesity Medicine (Family Medicine) Physician
  • Walnut Creek, CA
National Provider Identifier
1841586468
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
A66219 Issued in CA
Legal business name
JUMPSTART MEDICINE PC
Doing business as
JumpstartMD
Practice address
1981 N Broadway
Suite 200
Walnut Creek, CA 94596-3852
Phone
(925) 287-8777
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Conrad Lai, M.D.NPI 1942248141
Title
Ceo
Phone
(925) 287-8777

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X A66219 CA
Obesity Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QB0002X A66219 CA Primary

Addresses

Primary practice location

1981 N Broadway
Suite 200
Walnut Creek, CA 94596-3852

Mailing address

1981 N Broadway
Suite 200
Walnut Creek, CA 94596-3852
Phone (925) 287-8777

Other names 1

  • JumpstartMD Doing business as

National Provider Directory

National Provider Directory

Locations

1981 N Broadway
Ste 200
Walnut Creek, CA 94596
Phone (925) 287-8777

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1841586468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 N BROADWAY",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963852",
            "telephone_number": "925-287-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 N BROADWAY",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963852",
            "telephone_number": "925-287-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMPSTART MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-287-8777",
        "authorized_official_credential": "M.D."
    },
    "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"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • 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.