Individual provider · Type 1 NPI

Jake Anderson Sossamon, MD

Student in an Organized Health Care Education/Training Program · Stanford, CA

NPI number 1144023714 Active

Practice location

300 Pasteur Drive, Lane 154
Stanford, CA 94305-5133

Call (650) 723-6661 Map

Fax (650) 498-6205

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144023714

Jake Anderson Sossamon, MD's National Provider Identifier is 1144023714, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stanford, CA. The record was last updated on Jul 14, 2026.