JERRY ROBERT KLEIN MD NPI 1558325456

NPI Information

NPI: 1558325456
Provider Name: JERRY ROBERT KLEIN, MD
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
751 S BASCOM AVE
JUVENILE HALL-PEDIATRICS
SAN JOSE, CA
ZIP 95128
Phone: (408) 299-4841
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Jerry Robert Klein, MD is an adolescent medicine pediatrics in San Jose, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Jerry Robert Klein, MD NPI is 1558325456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

751 S BASCOM AVE
JUVENILE HALL-PEDIATRICS
SAN JOSE, CA
ZIP 95128-604
Phone: (408) 299-4841

The enumeration date for this NPI number is 4/17/2006 and was last updated on 9/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics	G34236	CALIFORNIA	No
2	2080A0000X	Pediatrics	Adolescent Medicine	G34236	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00G342360	MEDICAID	CALIFORNIA
2	A45839	MEDICARE UPIN	CALIFORNIA
3	00G342360	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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