JASON I LIFSHUTZ (NPI# 1215011960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215011960 |
| Entity Type | Individual |
| Full Name | JASON I LIFSHUTZ |
| Credential | MD |
| Practice Address |
751 S Bascom Ave Neurosurgery Dept San Jose CA 95128-2604 |
| Mailing Address |
751 S Bascom Ave San Jose CA 95128-2604 |
| Practice Telephone | 4088855000 |
| Mailing Telephone | 4088855000 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | A66442 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A664420 | 05 |
| Street Address |
751 S BASCOM AVE NEUROSURGERY DEPT |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743217 | Ellen Perez Travis | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2005-07-13 |
| 1235738691 | Alina Bogdanovich | Registered Nurse | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-10-17 |
| 1255946380 | Kimberly Red Soria | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-09-15 |
| 1568072403 | Emily Win Hou | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-05 |
| 1649880063 | Katherine Ann Trescott | Speech-Language Pathologist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-01 |
| 1992320386 | Gino Dizon Legaspi | Physical Therapy Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-11 |
| 1215552732 | Emily Louise Masad | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-06-10 |
| 1790300341 | Laura Muzzatti | Physical Therapist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-09 |
| 1679195085 | Raymond Chao | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-05-08 |
| 1407476765 | Yoo Jung Kim | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972643286 | Stanley Shatsky | Neurological Surgery | 2505 Samaritan Dr Ste D, San Jose, CA 95124-4006 | 2007-02-07 |
| 1114330461 | California Spine and Neurosurgery Institute | Neurological Surgery | 3425 S Bascom Ave, Suite I, San Jose, CA 95008-7300 | 2014-06-04 |
| 1720358971 | Ali Shirzadi | Neurological Surgery | 2577 Samaritan Dr, Suite 710, San Jose, CA 95124-4100 | 2012-01-05 |
| 1881836104 | Marc B Lee | Neurological Surgery | 751 S. Bascom Ave, San Jose, CA 95128 | 2009-04-01 |
| 1780888107 | Stanley A. Shatsky, M.d. A Professional Corporation | Neurological Surgery | 2550 Samaritan Dr Ste D, San Jose, CA 95124-4104 | 2007-06-11 |
| 1174731095 | Fahd Rahman Khan | Neurological Surgery | 2550 Samaritan Dr, Ste D, San Jose, CA 95124-4104 | 2007-05-21 |
| 1235347865 | Harminder Singh | Neurological Surgery | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2007-05-18 |
| 1669686747 | Mark E. Eastham, M.d. | Neurological Surgery | 2505 Samaritan Dr, Suite 508, San Jose, CA 95124-4006 | 2007-05-09 |
| 1871707984 | Kenneth S. Blumenfeld, Md. P.C. | Neurological Surgery | 2577 Samaritan Dr, Suite 710, San Jose, CA 95124-4100 | 2007-05-09 |
| 1952444622 | Peter Hoang Nguyen | Neurological Surgery | 200 Jose Figueres Ave Ste 260, San Jose, CA 95116 | 2007-02-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.