Healthcare Provider Details

I. General information

NPI: 1508973249
Provider Name (Legal Business Name): JEFFREY DAVID KLAUSNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 DOLORES AVE
SAN LEANDRO CA
94577-5007
US

IV. Provider business mailing address

201 DOLORES AVE
SAN LEANDRO CA
94577-5007
US

V. Phone/Fax

Practice location:
  • Phone: 510-984-2489
  • Fax: 510-788-6830
Mailing address:
  • Phone: 510-984-2489
  • Fax: 510-788-6830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG81840
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberG81840
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: