Jason D Comfort, D.O.
Individual provider Active NPI General Practice Physician · Hughson, CA
NPI 1891040952 · NPPES record last updated Jul 16, 2012
Key facts
- NPI
- 1891040952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 20A 12302 (CA)
- Practice address
- 6206 Roeding Rd
Hughson, CA 95326 - Phone
- (209) 585-7274
- NPI assigned
- Jul 16, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A 12302 | CA | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 20A 12302 | CA | Yes |
Addresses
Primary practice location
6206 Roeding Rd
Hughson, CA 95326
Mailing address
PO Box 390750
Mountain View, CA 94039
Phone (209) 585-7274
Other providers in Hughson, CA
- Kassandra Armas
- Steve A Barco
- Vanesa Castro Montanez
- Christopher C Choo
- Christopher Choo DDS Inc
- County of Stanislaus
- James Curatolo
- Veronica Marie Duarte
- John English
- Maria Guadalupe Gutierrez
All providers in Hughson, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.