Active NPI
Jennifer Lea Kaufman, MD
- Pediatrics Physician
- San Mateo, CA
National Provider Identifier
1992729008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A 72303
- Practice address
- 50 S San Mateo Dr
Suite 180
San Mateo, CA 94401-3857 - Phone
- (650) 342-4145
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A 72303 | CA | Primary |
Addresses
Primary practice location
50 S San Mateo Dr
Suite 180
San Mateo, CA 94401-3857
Mailing address
50 S San Mateo Dr
Suite 180
San Mateo, CA 94401-3857
Phone (650) 342-4145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A 72303 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Mills-Peninsula Health Services | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| LPCH Medical Group Div of Lucile | Pediatrics | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1518937051
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1992729008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S SAN MATEO DR",
"address_2": "SUITE 180",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013857",
"telephone_number": "650-342-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S SAN MATEO DR",
"address_2": "SUITE 180",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013857",
"telephone_number": "650-342-4145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "JENNIFER",
"middle_name": "LEA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A 72303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.