Individual
DR. JESSICA C MCBETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
751 S BASCOM AVE, VALLEY MEDICAL CENTER, DEPT OF ORTHOPAEDICS, SAN JOSE, CA 95128-2604
(408) 885-5395
Mailing address
751 S BASCOM AVE, VALLEY MEDICAL CENTER, DEPT OF ORTHOPAEDICS, SAN JOSE, CA 95128-2604
(408) 885-5395
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
47182
MN
207X00000X
Orthopaedic Surgery Physician
Primary
A97096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A970960
—
CA
05
—
0148395
—
MT
05
—
0599258
—
IA
01
—
09-00027
MEDICA PRIMARY
MN
01
—
09-02199
MEDICA CHOICE
MN
01
—
1044692
PREFERRED ONE
MN
01
—
135301
UCARE
MN
01
—
2372484
ARAZ
MN
05
—
951550000
—
MN
01
—
E013
CHAMPUS
MN
01
—
HP54825
HEALTHPARTNERS
MN
Enumeration date
06/27/2006
Last updated
09/28/2007
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