Organization Active NPI

Jennifer Baron, MD, a Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1912214685
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A92659 Issued in CA
Legal business name
JENNIFER BARON, MD, A MEDICAL CORPORATION
Practice address
143 Rinconada Ave
Palo Alto, CA 94301-3726
Phone
(415) 310-6060
Fax
(408) 297-2659
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Dr. Jennifer Ahimsa Baron, MDNPI 1902927148
Title
President
Phone
(415) 310-6060

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A92659 CA Primary

Addresses

Primary practice location

143 Rinconada Ave
Palo Alto, CA 94301-3726

Mailing address

123 Di Salvo Ave
Suite a
San Jose, CA 95128-1717
Phone (408) 418-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101021000812 CA Part B Supplier - Clinic/Group Practice 2466645577 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1912214685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 DI SALVO AVE",
            "address_2": "SUITE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281717",
            "telephone_number": "408-418-8780",
            "fax_number": "408-297-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 RINCONADA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943013726",
            "telephone_number": "415-310-6060",
            "fax_number": "408-297-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BARON, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "AHIMSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-310-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A92659",
            "primary": true
        }
    ],
    "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 Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.