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General NPI Number Information
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NPI Number | 1093729121
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Entity Type | Individual
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Provider Name | JAMES JEROME ZIMMERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 2900 WHIPPLE AVE SUITE 225
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City | REDWOOD CITY
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State | CA
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Zip | 94062-2851
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Country | US
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Telephone | 650-366-0225
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Fax | 650-367-6085
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Provider Business Mailing Address
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Address Line | 325 DISTEL CIR
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City | LOS ALTOS
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State | CA
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Zip | 94022-1408
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Country | US
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Telephone | 650-366-0225
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G39110
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | G39110
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | G39110
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G39110
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License Number State | CA
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