JAN ELLEN MAISEL MD PHD
NPI 1720067226
Pediatrics in Larkspur, CA

Q: What is Jan Maisel's NPI number?

The NPI number for Jan Maisel is 1720067226. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Q: What is Jan Maisel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jan Maisel was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 12, 2006

5 BON AIR ROAD, STE. 105, LARKSPUR, CA 94939(415) 461-0440(415) 461-3792 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jan Ellen Maisel Md Phd NPPES

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

JAN ELLEN MAISEL MD PHD (NPI 1720067226) is an individual pediatrics provider in Larkspur, California, licensed in California (G47504) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1720067226

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJAN ELLEN MAISELCredential: MD PHD

Location Address5 BON AIR ROAD, STE. 105Larkspur, CA 94939

Mailing Address5 Bon Air Road, Ste. 105Larkspur, CA 94939 · (415) 461-0440 · Fax (415) 461-3792

Phone(415) 461-0440

Fax(415) 461-3792

Sole ProprietorNo

Enumeration DateJanuary 12, 2006

Last NPPES UpdateJune 3, 2015

✔ NPI 1720067226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · G47504

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5 BON AIR ROAD, STE. 105, Larkspur, CA 94939

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Other Identifiers 3

Medicare ID-Type UnspecifiedZZZ29435ZCA

Medicare UPINA50718

Medicaid00G475040CA

Other Providers at the Same Location NPPES 3

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

DR. STEPHEN ALBERT SANTUCCI JR. M.D.

Pediatrics

5 BON AIR ROAD, STE. 105
LARKSPUR, CA 94939

Marin County (415) 461-0440

JEANETTE R WHITE

Pediatrics

5 BON AIR ROAD, STE. 105
LARKSPUR, CA 94939

Marin County (415) 461-0440

JOHN SUNGCHULL LEE MD

Pediatrics

5 BON AIR ROAD, STE. 105
LARKSPUR, CA 94939

Marin County (415) 461-0440

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 Jan Maisel's NPI number?

The NPI number for Jan Maisel is 1720067226. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Jan Maisel located?

Jan Maisel practices at 5 Bon Air Road, Ste. 105, Larkspur, CA 94939. The listed phone number is (415) 461-0440.

What is Jan Maisel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jan Maisel was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.