Healthcare Provider Details

I. General information

NPI: 1285714972
Provider Name (Legal Business Name): SARAH J JANSSEN MD, PHD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 12/13/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 VAN NESS AVE STE 2008 KAISER PERMANENTE OCCUPATIONAL MEDICINE
SAN FRANCISCO CA
94102-6310
US

IV. Provider business mailing address

1916 RUSSELL ST
BERKELEY CA
94703-2222
US

V. Phone/Fax

Practice location:
  • Phone: 415-833-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberA84125
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: