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JEFFERSON STREET FAMILY PRACTICE
NPI 1871690040
Family Medicine in Austin, TX

Active since September 20, 2006
1101 W 40TH ST, AUSTIN, TX 78756(512) 459-4147(512) 459-9134 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jefferson Street Family Practice NPPES

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

JEFFERSON STREET FAMILY PRACTICE (NPI 1871690040) is a healthcare organization registered as a family medicine in Austin, Texas and active in the NPI registry since September 2006. The organization lists Ajay Kumar Gupta, President, as its authorized official.

NPPES Registry Identity

NPI1871690040
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJEFFERSON STREET FAMILY PRACTICE
Location Address1101 W 40TH STAustin, TX 78756-3609
Mailing Address1101 W 40th StAustin, TX 78756-3609 · (512) 459-4147 · Fax (512) 459-9134
Phone(512) 459-4147
Fax(512) 459-9134
Organization SubpartNo
Authorized OfficialAjay Kumar GuptaPresident · (512) 458-3185
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871690040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1101 W 40TH ST, Austin, TX 78756
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MR. ALISTAIR TAFT JONES AC
Acupuncturist
1101 W 40TH ST
AUSTIN, TX 78756
Travis County (512) 459-4147
JULIE C HARDY MD
Family Medicine
1101 W 40TH ST
AUSTIN, TX 78756
Travis County (512) 459-4147
CHRISTLINE MAXI
Behavior Technician
1101 W 40TH ST
AUSTIN, TX 78756
Travis County (855) 223-7123
DR. PAMELA GARCIA M.D.
Family Medicine
1101 W 40TH ST
AUSTIN, TX 78756
Travis County (512) 459-4147

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 Jefferson Street Family Practice's NPI number?

The NPI number for Jefferson Street Family Practice is 1871690040. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Jefferson Street Family Practice located?

Jefferson Street Family Practice is located at 1101 W 40th St, Austin, TX 78756. The listed phone number is (512) 459-4147.

What is Jefferson Street Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jefferson Street Family Practice was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.