JED ERIC BLACK (NPI# 1750423828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750423828 |
| Entity Type | Individual |
| Full Name | JED ERIC BLACK |
| Credential | M.D. |
| Practice Address |
401 Quarry Rd Suite 3301 Stanford CA 94305 |
| Mailing Address |
1920 Park Blvd Palo Alto CA 94306-1141 |
| Practice Telephone | 6507255917 |
| Mailing Telephone | 6507255917 |
| Mailing Fax Number | 6507258910 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
G074329 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688233 | Jed Black | Counselor | 1407 N 2000 W Ste J, Clinton, UT 84015-8563 | 2018-05-02 |
| Street Address |
401 QUARRY RD SUITE 3301 |
| City | STANFORD |
| State | CA |
| Zip Code | 94305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518490291 | Stanford University | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 401 Quarry Rd, Stanford, CA 94305 | 2017-04-10 |
| 1538616651 | Jennifer Alexis Ortiz | Psychologist | 401 Quarry Rd, Dept. of Psychiatry, Stanford, CA 94305-5722 | 2016-09-07 |
| 1598169161 | Matthew Kendra | Psychologist | 401 Quarry Rd, Stanford, CA 94306 | 2014-10-10 |
| 1376956706 | Ana Vanessa A Wren | Psychologist | 401 Quarry Rd, Stanford, CA 94305 | 2014-06-03 |
| 1629400304 | Adrianna Wechsler Zimring | Psychologist | 401 Quarry Rd, Stanford, CA 94305-5719 | 2013-08-05 |
| 1043656937 | Monica Sinha-evenson | Psychiatry & Neurology | 401 Quarry Rd, Suite 2204, Stanford, CA 94305 | 2013-05-17 |
| 1952680373 | Lian Bloch | Psychologist | 401 Quarry Rd, Stanford, CA 94305 | 2011-08-16 |
| 1770887713 | Kathleen Marie Corcoran | Psychologist | 401 Quarry Rd, Stanford, CA 94305-5722 | 2011-01-05 |
| 1548580855 | Rania Awaad | Psychiatry & Neurology | 401 Quarry Rd, Ste 2206, Stanford, CA 94305-2200 | 2010-06-09 |
| 1730315136 | Lauren A. Mikula Schneider | Psychologist | 401 Quarry Rd, Stanford, CA 94305 | 2009-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 2084S0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Sleep Medicine |
| A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154589273 | Eric Frenette | Psychiatry & Neurology | 401 Quarry Road, Suite 3301, Stanford, CA 94305 | 2008-05-27 |
| 1821141359 | Christian Guilleminault | Psychiatry & Neurology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205393980 | Comfort Diagnostics Inc | Psychiatry & Neurology | 6260 Laurel Canyon Blvd Ste 301, North Hollywood, CA 91606-3243 | 2019-02-28 |
| 1639634421 | Kab Medical Group Inc | Psychiatry & Neurology | 502 Euclid Ave Ste 204, National City, CA 91950-2949 | 2019-02-05 |
| 1801366083 | The Department of Psychiatry | Psychiatry & Neurology | 20350 Sw Birch St, Newport Beach, CA 92660-1713 | 2018-11-29 |
| 1750818068 | Robert H Price Md Inc | Psychiatry & Neurology | 1501 Quintana Road, Apt. 6, Morro Bay, CA 93442 | 2017-05-17 |
| 1770907453 | Vasanthi Krishna Md PC | Psychiatry & Neurology | 1710 Prairie City Rd, Suite No: 120-125, Folsom, CA 95630-9592 | 2014-02-14 |
| 1316379720 | Jason Valerio | Psychiatry & Neurology | 1450 San Antonio Ave, Apt 3, Menlo Park, CA 94025-3197 | 2013-08-07 |
| 1114284312 | Roobal Sekhon, D.o., Inc. | Psychiatry & Neurology | 925 Ygnacio Valley Rd Ste 205, Walnut Creek, CA 94596-3875 | 2012-04-12 |
| 1336448208 | Baydream Inc | Psychiatry & Neurology | 401 Silver Spur Ln, Oakley, CA 94561-4422 | 2011-03-17 |
| 1255632550 | Bay Area Sleep Medicine | Psychiatry & Neurology | 2504 Samaritan Drive, Suite 10, San Jose, CA 95124-4005 | 2010-11-03 |
| 1518191949 | Nevin Arora | Psychiatry & Neurology | 380 S Melrose Dr Ste 204, Vista, CA 92081-6652 | 2009-05-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JED ERIC BLACK.
| 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.