JENNIE JET (NPI# 1073579231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073579231 |
| Entity Type | Individual |
| Full Name | JENNIE JET |
| Credential | M.D. |
| Practice Address |
1595 Soquel Dr Ste 110 Santa Cruz CA 95065-1719 |
| Mailing Address |
3400 Data Dr Rancho Cordova CA 95670-7956 |
| Practice Telephone | 8314629955 |
| Practice Fax Number | 8314624488 |
| Mailing Telephone | 9163792915 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | G86051 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G860510 | 05 |
| Street Address |
1595 SOQUEL DR STE 110 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891788592 | Marcus R Kwan | Surgery | 1595 Soquel Dr, Suite 340, Santa Cruz, CA 95065-1719 | 2005-08-26 |
| 1346679149 | Dilyana Georgieva | Nurse Practitioner | 1595 Soquel Dr, Suite 400, Santa Cruz, CA 95065-1719 | 2013-11-02 |
| 1437598158 | Steven Matthew Leuck | Pharmacist | 1595 Soquel Dr, Santa Cruz, CA 95065-1719 | 2013-06-15 |
| 1558612770 | Treta Purohit Goyal | Internal Medicine | 1595 Soquel Dr, Suite 140, Santa Cruz, CA 95065-1719 | 2012-09-27 |
| 1710266424 | Anna W Dodge | Audiologist | 1595 Soquel Dr, 230, Santa Cruz, CA 95065-1719 | 2011-08-11 |
| 1831498393 | Matthew Mcleod Ryan | Physical Medicine & Rehabilitation | 1595 Soquel Dr, Suite 110, Santa Cruz, CA 95065-1719 | 2011-03-23 |
| 1174855936 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr, Suite 220, Santa Cruz, CA 95065-1719 | 2010-02-04 |
| 1205067410 | Cheryl S Demonner | Physician Assistant | 1595 Soquel Dr, Suite 400, Santa Cruz, CA 95065-1719 | 2009-08-05 |
| 1184883225 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr, Suite 140, Santa Cruz, CA 95065-1719 | 2008-06-04 |
| 1174798342 | Dominican Hospital Foundation | Non-Pharmacy Dispensing Site | 1595 Soquel Dr, 400, Santa Cruz, CA 95065-1719 | 2008-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
| 1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
| 1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
| 1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
| 1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
| 1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
| 1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
| Find all providers in zip 95065 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093785214 | Daniel Marcus | Physical Medicine & Rehabilitation | 1595 Soquel Dr Ste 220, Santa Cruz, CA 95065-1721 | 2006-01-23 |
| 1720633597 | Bonny Masters Md Inc | Physical Medicine & Rehabilitation | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2019-08-07 |
| 1750754776 | Lora Boone | Physical Medicine & Rehabilitation | 1555 Soquel Dr, Dominican Hospital, Santa Cruz, CA 95065 | 2015-11-13 |
| 1780079152 | Jennifer Yu | Physical Medicine & Rehabilitation | 1595 Soquel Dr Ste 140, Santa Cruz, CA 95065-1717 | 2015-04-02 |
| 1891068771 | Bonny Masters | Physical Medicine & Rehabilitation | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2012-02-22 |
| 1831498393 | Matthew Mcleod Ryan | Physical Medicine & Rehabilitation | 1595 Soquel Dr, Suite 110, Santa Cruz, CA 95065-1719 | 2011-03-23 |
| 1730321993 | Kaly Chang-chien Kao | Physical Medicine & Rehabilitation | 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2009-04-01 |
| 1316113855 | Ayub Khan | Physical Medicine & Rehabilitation | 1529 Seabright Ave, Santa Cruz, CA 95062-2528 | 2008-05-05 |
| 1861687634 | Peggy Chen | Physical Medicine & Rehabilitation | 1658 Soquel Dr, Suite H, Santa Cruz, CA 95065-1706 | 2007-09-13 |
| 1114081429 | Robert Quinn | Physical Medicine & Rehabilitation | 1595 Soquel Dr, Ste 140, Santa Cruz, CA 95065-1719 | 2006-12-21 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95065 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.