Active NPI
Joseph a Habis MD
- Geriatric Medicine (Internal Medicine) Physician
- Novato, CA
National Provider Identifier
1972065704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- JOSEPH A HABIS MD
- Practice address
- 359 Bel Marin Keys Blvd Ste 22
Novato, CA 94949-5637 - Phone
- (415) 287-0700
- NPI assigned
- Apr 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Taylor
- Title
- Ceo
- Phone
- (415) 497-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
359 Bel Marin Keys Blvd Ste 22
Novato, CA 94949-5637
Mailing address
116 Blackstone Dr
San Rafael, CA 94903-1506
Phone (415) 497-0700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554076800000",
"number": "1972065704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 BLACKSTONE DR",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949031506",
"telephone_number": "415-497-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 BEL MARIN KEYS BLVD STE 22",
"city": "NOVATO",
"state": "CA",
"postal_code": "949495637",
"telephone_number": "415-287-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH A HABIS MD",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-01",
"last_updated": "2019-04-01",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "415-497-0700"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.