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ROBERT LIONEL JACK M.D.
NPI 1376601443
Specialist in Menlo Park, CA

Active since December 04, 2006
1225 CRANE ST, MENLO PARK, CA 94025(650) 323-0231(650) 565-8297 Get Directions Write a Review

NPPES record last updated: January 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert Lionel Jack M.d. NPPES

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

ROBERT LIONEL JACK M.D. (NPI 1376601443) is an individual specialist in Menlo Park, California, licensed in California (G17236) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1376601443
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameROBERT LIONEL JACKCredential: M.D.
Location Address1225 CRANE STMenlo Park, CA 94025-4257
Mailing Address2452 Watson CtPalo Alto, CA 94303-3216 · (650) 721-6888 · Fax (650) 565-8297
Phone(650) 323-0231
Fax(650) 565-8297
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateJanuary 3, 2012
✔ NPI 1376601443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G17236
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1225 CRANE ST, Menlo Park, CA 94025
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Other Providers at the Same Location NPPES 20

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

MS. MONICA DOLCE STONE M.A.
Marriage & Family Therapist
1225 CRANE ST, SUITE 106
MENLO PARK, CA 94025
San Mateo County (650) 858-1526
KATHERINE GRAHAM
Physical Therapist (Orthopedic)
1225 CRANE ST
MENLO PARK, CA 94025
San Mateo County (650) 323-3001
DR. MICHAEL BRET SCHNEIDER M.D.
Psychiatry & Neurology (Psychiatry)
1225 CRANE ST, SUITE 205
MENLO PARK, CA 94025
San Mateo County (650) 906-8371
INADVANCE MEDICINE ASSOCIATES WEST, P. C.
Community Health Worker
1225 CRANE ST, SUITE 108
MENLO PARK, CA 94025
San Mateo County (844) 358-8648
DR. ANUPAM JAYARAM M.D.
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1225 CRANE ST, SUITE 200
MENLO PARK, CA 94025
San Mateo County (650) 324-0056
DR. ALEX DIMITRIU MD
Psychiatry & Neurology (Psychiatry)
1225 CRANE ST, SUITE 205
MENLO PARK, CA 94025
San Mateo County (650) 326-5888
TOBIAS PHYSICAL THERAPY INC.
Physical Therapist
1225 CRANE ST, SUITE 105
MENLO PARK, CA 94025
San Mateo County (650) 323-3001
MR. BRYAN X LIAN RD
Dietitian, Registered
1225 CRANE ST, SUITE 205
MENLO PARK, CA 94025
San Mateo County (650) 308-8226

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 Robert Jack's NPI number?

The NPI number for Robert Jack is 1376601443. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Robert Jack located?

Robert Jack practices at 1225 Crane St, Menlo Park, CA 94025. The listed phone number is (650) 323-0231.

What is Robert Jack's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Robert Jack was last updated on January 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.