Active NPI
Jeffrey Edward Lazarus, M.D.
- Pediatrics Physician
- Menlo Park, CA
National Provider Identifier
1881785285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G40298
- Practice address
- 1220 University Drive
Suite 104
Menlo Park, CA 94025 - Phone
- (650) 322-5333
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35046418L | OH | |
| Pediatrics Physician | 208000000X | G40298 | CA | Primary |
Addresses
Primary practice location
1220 University Drive
Suite 104
Menlo Park, CA 94025
Mailing address
1220 University Drive
Suite 104
Menlo Park, CA 94025
Phone (650) 322-5333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35046418L | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1881785285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 UNIVERSITY DRIVE",
"address_2": "SUITE 104",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "94025",
"telephone_number": "650-322-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 UNIVERSITY DRIVE",
"address_2": "SUITE 104",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "94025",
"telephone_number": "650-322-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZARUS",
"first_name": "JEFFREY",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35046418L",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G40298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.