Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Vanbezooyen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346773504

Jack Vanbezooyen is a Student in an Organized Health Care Education/Training Program in Corte Madera, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

240 Tamal Vista Blvd
Corte Madera, CA 94925-1132
Phone: (916) 969-7074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 171751 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1346773504
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 5, 2017
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022
Mailing address1001 Potrero Ave, San Francisco, CA 94110-3518

Other providers in Corte Madera