Healthcare Provider Details

I. General information

NPI: 1295648848
Provider Name (Legal Business Name): JEFF WEBER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 W EL CAMINO REAL
MOUNTAIN VIEW CA
94040-2759
US

IV. Provider business mailing address

1600 TECHNOLOGY DR
SAN JOSE CA
95110-1382
US

V. Phone/Fax

Practice location:
  • Phone: 408-444-2519
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: