Jacques J Palmer M D Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

JACQUES J PALMER M D INC

Practice address

30832 Via Conquista
San Juan Capistrano, CA 92675-1736

Phone

(949) 364-1060

Fax

(949) 364-1060

NPI assigned

Jul 31, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jacques J Palmer, MD

Title

President

Phone

(949) 364-1060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1891349585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30832 VIA CONQUISTA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751736",
            "telephone_number": "949-364-1060",
            "fax_number": "949-364-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30832 VIA CONQUISTA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751736",
            "telephone_number": "949-364-1060",
            "fax_number": "949-364-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUES J PALMER M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-364-1060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Jacko, NP-C
• Emily Ann Jackson, DDS
• Karen Sue Jackson, RN BSN
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• Albrik Patrick Jacobi
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• Timothy Dale James, D.P.M.
• Jan Odell DDS Inc

• Neurological Surgery Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.