Healthcare Provider Details

I. General information

NPI: 1013057223
Provider Name (Legal Business Name): JANE HILDRETH BAXTER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 ALAMEDA DE LAS PULGAS STE 1
MENLO PARK CA
94025-6509
US

IV. Provider business mailing address

3555 ALAMEDA DE LAS PULGAS STE 100
MENLO PARK CA
94025-6509
US

V. Phone/Fax

Practice location:
  • Phone: 650-854-1980
  • Fax: 650-854-1987
Mailing address:
  • Phone: 650-854-1980
  • Fax: 650-854-1987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU 737
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: