JENNIFER LYNN LANDERS GULLO (NPI# 1306080841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306080841 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN LANDERS GULLO |
| Credential | MD |
| Practice Address |
2100 Powell St Ste 920 Emeryville CA 94608-1844 |
| Practice Telephone | 5103502777 |
| Mailing Telephone | 5103502777 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2013-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A121026 | CA | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
0101249218 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164887774 | Jennifer Gullo | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2015-12-24 |
| Street Address |
2100 POWELL ST STE 920 |
| City | EMERYVILLE |
| State | CA |
| Zip Code | 94608-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427106400 | Todd Andrew Mcgregor | Emergency Medicine | 2100 Powell St Ste 920, Emeryville, CA 94608-1844 | 2007-01-08 |
| 1083084412 | Joseph Robert Maloney | Physician Assistant | 2100 Powell St Ste 920, Emeryville, CA 94608-1844 | 2015-09-28 |
| 1730512740 | Nicole Patricia Nasser | Nurse Practitioner | 2100 Powell St Ste 920, Cep Americal, Emeryville, CA 94608-1844 | 2013-08-13 |
| 1447696356 | Dina Elkady | Physician Assistant | 2100 Powell St Ste 920, Emeryville, CA 94608-1844 | 2013-05-18 |
| 1619279239 | Michael Richard Grazier | Emergency Medicine | 2100 Powell St Ste 920, Emeryville, CA 94608-1844 | 2010-12-02 |
| 1891959300 | Eilda Portillo | Physician Assistant | 2100 Powell St Ste 920, Emeryville, CA 94608-1844 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
| 1457853921 | Jimmy Yan | Behavior Technician | 5900 Hollis Street Suite X, Emeryville, CA 94608 | 2018-03-01 |
| 1609395961 | Bay Wellness | Durable Medical Equipment & Medical Supplies | 5715 Market St Ste #d, Oakland, CA 94608 | 2017-09-18 |
| 1871023630 | Philip Staley | Registered Nurse | 1890 Alcatraz Avenue, Berkeley, CA 94608 | 2017-06-14 |
| 1114379120 | Leah Jane Tapscott | Registered Nurse | 6121 Hollis St Ste 900, Emeryville, CA 94608 | 2016-07-01 |
| 1295122273 | Paramjit S Virk | Nurse Practitioner | 888 Stanford Ave., Oakland, CA 94608 | 2015-04-17 |
| 1295123453 | Sports Injury Medical Group | Preferred Provider Organization | 5900 Hollis St., Suite K, Emeryville, CA 94608 | 2014-12-22 |
| 1144630583 | Adeline Lopez | Social Worker | 925 Brockhurst St., Oakland, CA 94608 | 2014-05-07 |
| 1710201603 | Rachna Gurjeet Wadia | Pediatrics | 6121 Hollis St. Suite #2, Emeryville, CALIFORNIA 94608 | 2010-03-21 |
| 1184872285 | I 5 Medical Group, Inc. | Clinic/Center | 5915 B Hollis Street, Emeryville, CA 94608 | 2008-09-03 |
| Find all providers in zip 94608 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427106400 | Todd Andrew Mcgregor | Emergency Medicine | 2100 Powell St Ste 920, Emeryville, CA 94608-1844 | 2007-01-08 |
| 1477509461 | Robert F Huxol | Emergency Medicine | 2100 Powell Street, Suite 920, Emeryville, CA 94608-1803 | 2006-05-25 |
| 1114983244 | Jeffery J Leinen | Emergency Medicine | 2100 Powell St Ste 900, Emeryville, CA 94608-1844 | 2006-04-26 |
| 1124655063 | Cep America - California | Emergency Medicine | 2100 Powell St Ste 400, Emeryville, CA 94608-1826 | 2020-03-23 |
| 1902362155 | Gadiel Arnulfo Escobedo | Emergency Medicine | 2100 Powell St Ste 900, Emeryville, CA 94608-1844 | 2019-02-13 |
| 1356699466 | Cep America LLC | Emergency Medicine | 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 | 2012-08-21 |
| 1619279239 | Michael Richard Grazier | Emergency Medicine | 2100 Powell St Ste 920, Emeryville, CA 94608-1844 | 2010-12-02 |
| 1518275726 | Heather Dawn Angell | Emergency Medicine | 2100 Powell St, Suite 920, Emeryville, CA 94608-1826 | 2010-09-22 |
| 1679802276 | Henry William Turkel | Emergency Medicine | 2100 Powell St, Emeryville, CA 94608-1826 | 2009-12-11 |
| 1336378199 | Eduardo Lacalle | Emergency Medicine | 2100 Powell St, Emeryville, CA 94608-1826 | 2009-07-14 |
| Find all providers in EMERYVILLE | ||||
| City | EMERYVILLE |
| Zip Code | 94608 |
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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.