DR. JON RANDOLPH HABER (NPI# 1053556142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053556142 |
| Entity Type | Individual |
| Full Name | DR. JON RANDOLPH HABER |
| Credential | PHD |
| Practice Address |
795 Willow Rd # Mc151j Menlo Park CA 94025-2539 |
| Practice Telephone | 6506172755 |
| Practice Fax Number | 6506172755 |
| Mailing Telephone | 6506172755 |
| Mailing Fax Number | 6506172755 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
PSY19219 | CA | Other Service Providers |
| Street Address |
795 WILLOW RD # MC151J |
| City | MENLO PARK |
| State | CA |
| Zip Code | 94025-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350112 | Grail, Inc. | Clinical Medical Laboratory | 1525 O'brien Drive, Menlo Park, CA 94025 | 2020-09-09 |
| 1528673399 | Hanan Wasse | Occupational Therapist | 860 Fremont # Apt 2, Menlo Park, CA 94025 | 2020-09-09 |
| 1356967608 | Raymond Joseph Brinkmann | Counselor | 795 Willow Road Bldg 332, Menlo Park, CA 94025 | 2020-06-23 |
| 1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
| 1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
| 1942774732 | Irazema Garcia | Health Educator | 3000 Sand Hill Road, Building 3, Suite 240, Menlo Park, CA 94025 | 2019-01-15 |
| 1538639174 | Care Indeed, Inc. | Home Health | 890 Santa Cruz Ave., Menlo Park, CA 94025 | 2018-11-27 |
| 1639644370 | Wendy Figone | Massage Therapist | 575 Gilbert Ave., Menlo Park, CA 94025 | 2018-10-09 |
| 1437667540 | Christina E Kang | Nutritionist | 3639 Haven Ave Unit A424, Menlo Park, CA 94025 | 2018-01-11 |
| 1225492820 | Speachy Learning Center | Speech-Language Pathologist | 1164 Chestnut Street, Menlo Park, CA 94025 | 2016-04-09 |
| Find all providers in zip 94025 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205372315 | Naama Barnea-goraly | Specialist | 723 Partridge Ave, Menlo Park, CA 94025-5213 | 2017-01-12 |
| 1538407721 | Jonathan A Leff | Specialist | 178 Seminary Dr, Menlo Park, CA 94025-3569 | 2013-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701640 | Andrew Somers | Specialist | 6711 Yucca St, Hollywood, CA 90028-4609 | 2020-05-13 |
| 1023676632 | Ajit P Varki | Specialist | 9500 Gilman Dr # Mc0687, La Jolla, CA 92093-0687 | 2019-05-30 |
| 1679045041 | Mahsa Parviz | Specialist | 4869 W Sunset Blvd., Los Angeles, CA 90027-5969 | 2018-12-26 |
| 1134648397 | Jamie Dananberg | Specialist | 3280 Bayshore Blvd Ste 100, Brisbane, CA 94005-1029 | 2017-09-19 |
| 1205387420 | Albert Lee | Specialist | 16638 Nicklaus Dr Unit 97, Sylmar, CA 91342-1693 | 2016-10-24 |
| 1912457425 | John J Speidel | Specialist | 631 Portofino Ln, Foster City, CA 94404-2937 | 2016-10-07 |
| 1073987087 | Kenneth Krantz | Specialist | 204 E 2nd Ave, Suite 519, San Mateo, CA 94401-3963 | 2015-11-15 |
| 1194199109 | Physicians Clinical Research, LLC | Specialist | 2240 Pacific Ave Ste A, Long Beach, CA 90806-4372 | 2015-11-15 |
| 1326445065 | William Lang | Specialist | 101 Cornelia Ave, Mill Valley, CA 94941-1807 | 2014-11-24 |
| 1396162145 | Filipinas Vitug | Specialist | 6652 San Alano Cir, Buena Park, CA 90620-3738 | 2014-03-18 |
| Find all providers with the same taxonomy | ||||
| City | MENLO PARK |
| Zip Code | 94025 |
Please comment or provide details below to improve the information on DR. JON RANDOLPH HABER.
| 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.