Healthcare Provider Details

I. General information

NPI: 1861847410
Provider Name (Legal Business Name): JAY SINGH SAGGU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JASKARAN SINGH SAGGU

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR
STANFORD CA
94305-2200
US

IV. Provider business mailing address

300 PASTEUR DR
STANFORD CA
94305-2200
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-4000
  • Fax:
Mailing address:
  • Phone: 650-723-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberA202049
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA202049
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: