Healthcare Provider Details

I. General information

NPI: 1154055606
Provider Name (Legal Business Name): JADE VICTORIA ROBINSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SAN PABLO AVE STE 280
BERKELEY CA
94702-2498
US

IV. Provider business mailing address

300 PASTEUR DR
STANFORD CA
94305-2200
US

V. Phone/Fax

Practice location:
  • Phone: 510-420-8000
  • Fax: 510-420-8001
Mailing address:
  • Phone: 650-723-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95022471
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: