John J Speidel

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

License

MD5560 Issued in DC

Legal business name

JOHN J SPEIDEL

Practice address

631 Portofino LN
Foster City, CA 94404-2937

Phone

(650) 572-1001

NPI assigned

Oct 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John Joseph Speidel, M. D.

Title

Principal

Phone

(650) 572-1001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1912457425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PORTOFINO LN",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042937",
            "telephone_number": "650-572-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PORTOFINO LN",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042937",
            "telephone_number": "650-572-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J SPEIDEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "SPEIDEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "650-572-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Research Study",
            "state": "DC",
            "license": "MD5560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Jadallah, DDS
• Valerie Krieger Jahan, M.D.
• Sripriya Jayaraman, MPH, DDS
• Aaron Garrick Jew
• Philip Jochelson, M.D.
• Vipul Jolly, DC
• Jonathon Everett Lee DDS Inc
• Gwendolyn Marie Juha
• Pranali Kalley, M.S CCC-SLP
• Daniel Eric Kates, MD

• Research Study Specialist in Foster City, CA
• Providers in Foster City, CA by specialty
• Research Study Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.