Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720067226 Individual Practitioner Female Practitioner

Dr. Jan Ellen Maisel , MD PHD

Pediatrics • Larkspur, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jan Maisel, MD PHD is a registered healthcare professional specializing in Pediatrics in Larkspur, CA. Practice services are available at 5 BON AIR ROAD, STE. 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5 Bon Air Road, Ste. 105

Larkspur, CA 94939

Telephone 4154610440
Fax 4154613792
Associated Practice Facility / Clinic
🏢 Tamalpais Pediatrics Facility NPI 1073580320

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Larkspur, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Larkspur, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA G47504

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00G475040 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
NPI 1003484387

Doctor of Medicine (M.D.)

Danielle Mendoza

Social Worker - Clinical

NPI 1134972185
Ashley Sanchez-Garcia

Behavior Analyst

NPI 1144065483
Sara Koenig , CPNP

Nurse Practitioner - Pediatrics

NPI 1144475112

Certified Pediatric Nurse Practitioner

Theresa Hall , LMFT

Marriage & Family Therapist

NPI 1174108328

Licensed Marriage and Family Therapist

Kathleen Morgan , RN, MS, PNP

Nurse Practitioner - Pediatrics

NPI 1255522504

Registered Nurse, Master of Science, Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2015

Registered at 5 BON AIR ROAD, STE. 105, LARKSPUR, CA 94939 (Tel: 4154610440)

📍
Updated Business Mailing Address June 03, 2015

Registered at 5 BON AIR ROAD, STE. 105, LARKSPUR, CA 94939 (Tel: 4154610440)

👤
Provider Name / Credentials Updated June 03, 2015

Recorded as JAN MAISEL, MD PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2015

Pediatrics (License #G47504 in CA)

🟢
Initial NPI Registration & Enumeration January 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720067226
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2006
Last Update: June 03, 2015
Sole Proprietor: No

Mailing Address

5 Bon Air Road, Ste. 105

Larkspur, CA 94939

Phone: 4154610440

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.