DR. JACK SIEGEL (NPI# 1710919097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710919097 |
| Entity Type | Individual |
| Full Name | DR. JACK SIEGEL |
| Practice Address |
121 Griffith Pl Los Gatos CA 95030-4211 |
| Practice Telephone | 4084972258 |
| Practice Fax Number | 8885868609 |
| Mailing Telephone | 4084972258 |
| Mailing Fax Number | 8885868609 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G31762 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770512006 | Jack L Siegel | Orthopaedic Surgery | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2006-06-30 |
| Street Address |
121 GRIFFITH PL |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95030-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1942840046 | Juniper Psychology Group, PC | Psychologist | 15814 Winchester Blvd., Suite 105, Los Gatos, CA 95030 | 2020-01-07 |
| 1487169561 | Kimberly Gladysz | Counselor | 499 Loma Alta Ave Bldg 5, Los Gatos, CA 95030 | 2017-12-11 |
| 1104364546 | Holland Wrenn Pauselius | Case Manager/Care Coordinator | 449 Loma Alta Avenue, Los Gatos, CA 95030 | 2017-02-06 |
| 1679017974 | Gillian Sands | Marriage & Family Therapist | 330 N. Santa Cruz Avenue, Suite B, Los Gatos, SANTA CLARA COUNTY 95030 | 2016-12-06 |
| 1649628579 | Yun Chung Wang | Acupuncturist | 430 Monterey Ave. Ste 1b, Los Gatos, CA 95030 | 2016-06-01 |
| 1619308186 | Chia-tsen Chen | Audiologist | 15861 Winchester Blvd., Los Gatos, CA 95030 | 2013-12-09 |
| 1144592825 | Eric Alan Hansen | Pediatrics | 17611 Foster Road, Los Gatos, CA 95030 | 2012-01-27 |
| 1356628085 | Teresa C. Yang | Physical Therapist | 110 Wood Rd., Los Gatos, CA 95030 | 2011-11-09 |
| 1093025314 | Susan Greenberg-englander | Psychiatry & Neurology | 20 South Santa Cruz Ave., #315, Los Gatos, CA 95030 | 2010-10-20 |
| Find all providers in zip 95030 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841644804 | Advanced Dermatology and Skin Surgery Inc | Specialist | 14830 Los Gatos Blvd Ste 100, Los Gatos, CA 95032-2053 | 2016-04-15 |
| 1568863439 | James Frederick Edwards | Specialist | 24230 Summit Woods Dr, Los Gatos, CA 95033-9294 | 2014-09-10 |
| 1023430931 | Andrea Hammer | Specialist | 328 Los Gatos Saratoga Rd, Los Gatos, CA 95030-5318 | 2014-01-11 |
| 1326342577 | Regina Helen Negrini | Specialist | 5087 Lone Hill Rd, Los Gatos, CA 95032-2801 | 2011-01-03 |
| 1104013606 | Gary Lynn | Specialist | 15899 Los Gatos Almaden Rd Ste 9, Los Gatos, CA 95032-3739 | 2007-09-27 |
| 1740320498 | Deborah Weidhaas | Specialist | 430 Monterey Ave Ste 2, Los Gatos, CA 95030-5323 | 2007-02-08 |
| 1992841357 | Maureen O. Khoo, Md, Inc. | Specialist | 320 Dardanelli Ln Ste 20b, Los Gatos, CA 95032-1419 | 2007-01-30 |
| 1932283264 | Associated Pathology Medical Group, Inc | Specialist | 105a Cooper Ct, Los Gatos, CA 95032-7604 | 2006-10-24 |
| 1285669762 | Peter Youn | Specialist | 15195 National Ave Ste 206, Los Gatos, CA 95032-2631 | 2006-07-12 |
| 1912971045 | Thomas E. Roberts | Specialist | 15405 Los Gatos Blvd, 104, Los Gatos, CA 95032-2500 | 2006-02-15 |
| Find all providers in LOS GATOS | ||||
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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.