JERRY A. HANSON, M.D. A PROFESSIONAL CORPORATION
NPI 1215137963
Clinic/Center - Medical Specialty in San Jose, CA

Q: What is Jerry A. Hanson, M.D. A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since July 20, 2007

2030 FOREST AVE, STE. 210, SAN JOSE, CA 95128(408) 295-2257(408) 295-2264 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jerry A. Hanson, M.d. A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY A. HANSON, M.D. A PROFESSIONAL CORPORATION (NPI 1215137963) is a healthcare organization registered as a medical specialty in San Jose, California and active in the NPI registry since July 2007. The organization lists Jerry Alan Hanson, President, as its authorized official.

NPPES Registry Identity

NPI1215137963

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameJERRY A. HANSON, M.D. A PROFESSIONAL CORPORATION

Location Address2030 FOREST AVE, STE. 210San Jose, CA 95128-4833

Mailing Address2030 Forest Ave, Ste. 210San Jose, CA 95128-4833 · (408) 295-2257 · Fax (408) 295-2264

Phone(408) 295-2257

Fax(408) 295-2264

Organization SubpartNo

Authorized OfficialJerry Alan HansonPresident · (048) 295-2257

Enumeration DateJuly 20, 2007

Last NPPES UpdateNovember 14, 2007

✔ NPI 1215137963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in CA · C33389

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2030 FOREST AVE, San Jose, CA 95128

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Other Identifiers 2

Medicare PINZZZ05336ZCA

Medicare UPINA35253CA

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH P LEE M.D.

Pediatrics

2030 FOREST AVE, SUITE 110
SAN JOSE, CA 95128

Santa Clara County (408) 947-2929

O'CONNOR HOSPITAL HOME HEALTH CARE AGENCY

Home Health

2030 FOREST AVE
SAN JOSE, CA 95128

Santa Clara County (408) 947-2724

LYNN VUONG NP

Nurse Practitioner

2030 FOREST AVE, SUITE 110
SAN JOSE, CA 95128

Santa Clara County (408) 297-5959

SANTA CLARA OB/GYN MEDICAL GROUP

Obstetrics & Gynecology

2030 FOREST AVE, SUITE 100
SAN JOSE, CA 95128

Santa Clara County (408) 993-1814

DR. NARCISO THAD PADUA M.D.

Pediatrics

2030 FOREST AVE, SUITE 110
SAN JOSE, CA 95128

Santa Clara County (408) 947-2929

CARDIAC & VASCULAR CARE, INC

Internal Medicine (Cardiovascular Disease)

2030 FOREST AVE, STE 210
SAN JOSE, CA 95128

Santa Clara County (408) 295-2257

RAYMOND TABIBIAZAR M.D.

Internal Medicine

2030 FOREST AVE, SUITE 210
SAN JOSE, CA 95128

Santa Clara County (415) 671-5674

DR. URSULA MARIA WOLLSCHLAEGER M.D.

Pediatrics

2030 FOREST AVE, SUITE 110
SAN JOSE, CA 95128

Santa Clara County (408) 947-2929

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry A. Hanson, M.D. A Professional Corporation's NPI number?

The NPI number for Jerry A. Hanson, M.D. A Professional Corporation is 1215137963. It was assigned to this organization in the NPPES registry on July 20, 2007.

Where is Jerry A. Hanson, M.D. A Professional Corporation located?

Jerry A. Hanson, M.D. A Professional Corporation is located at 2030 Forest Ave Ste. 210, San Jose, CA 95128. The listed phone number is (408) 295-2257.

What is Jerry A. Hanson, M.D. A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Jerry A. Hanson, M.D. A Professional Corporation was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.