Provider Demographics
NPI:1457438392
Name:SPRAGGINS, JANET M (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:SPRAGGINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 CAMBRIDGE AVE
Mailing Address - Street 2:ST. 200
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1550
Mailing Address - Country:US
Mailing Address - Phone:650-568-2724
Mailing Address - Fax:
Practice Address - Street 1:350 CAMBRIDGE AVE
Practice Address - Street 2:ST. 200
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1550
Practice Address - Country:US
Practice Address - Phone:650-568-2724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA508912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A508910Medicaid
H75401Medicare UPIN
00A508910Medicare ID - Type Unspecified