Dr. Jesse Julian Waggoner
Internist Infectious Disease
1301 Shoreway Rd Suite 100
Belmont
, California 94002-4151
Dr. Jesse Julian Waggoner
Internist Infectious Disease
1301 Shoreway Rd Suite 100
Belmont
, California 94002-4151
(650) 596-7096
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About
Features
Specialties
- Internist
- Infectious Disease
Languages spoken
- English
Location
First Address
- Dr. Jesse Julian Waggoner
- 1301 Shoreway Rd Suite 100
- Belmont, CA
- Zip : 94002-4151
- Fax : (650) 596-7096
- Phone : (650) 596-7000
Second Address
- Dr. Jesse Julian Waggoner
- 1301 Shoreway Rd Suite 100
- Belmont, CA
- Zip : 94002-4151
- Fax : (650) 596-7096
- Phone : (650) 596-7000
Reviews
FAQs
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Is Dr. Jesse Julian Waggoner a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | A110151 | CA |
| N | 111NI0900X | Internist | A110151 | CA |
| Y | 207RI0200X | Infectious Disease | A110151 | CA |
National Provider Identifier
| NPI | 1003081357 |
|---|---|
| Provider Name | Dr. Jesse Julian Waggoner |
| First Address | Belmont, CA 94002-4151 |
| Second Address | Belmont, CA 94002-4151 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2008 |
| Last Update Date | 16/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.