JENNIFER L SORRELL (NPI# 1487827861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487827861 |
| Entity Type | Individual |
| Full Name | JENNIFER L SORRELL |
| Credential | M.D. |
| Practice Address |
136 N San Mateo Dr San Mateo CA 94401 |
| Mailing Address |
6399 San Ignacio Ave Ste 120 San Jose CA 95119-1215 |
| Practice Telephone | 6503481242 |
| Practice Fax Number | 6503480788 |
| Mailing Telephone | 4083695620 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | A136518 | CA | Allopathic & Osteopathic Physicians |
| Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
A136518 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 780 Welch Rd, Cj220-28, Palo Alto, CA 943041516 | 6504978000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912364589 | Jennifer Suellen Sorrell | Speech-Language Pathologist | 2050 Stoneridge Dr, Circleville, OH 43113-8954 | 2016-01-27 |
| 1558691865 | Jennifer Elaine Sorrell | Physical Therapist | 807 N Tyndall Pkwy, Callaway, FL 32404-9495 | 2010-01-08 |
| Street Address |
136 N SAN MATEO DR |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265548390 | Medical Arts Obstetrics Gynecology | Obstetrics & Gynecology | 136 N San Mateo Dr, Suite 101, San Mateo, CA 94401-2779 | 2006-08-22 |
| 1417401068 | Michelle Christina Tsai Md Inc | Obstetrics & Gynecology | 136 N San Mateo Dr, Suite 101, San Mateo, CA 94401 | 2016-08-12 |
| 1811251242 | Roselyn Catherine Sandoval | Nurse Practitioner | 136 N San Mateo Dr, Suite 101, San Mateo, CA 94401-2777 | 2012-06-29 |
| 1972837573 | Jennifer Lee Prescott | Counselor | 136 N San Mateo Dr, Ste 101, San Mateo, CA 94401-2777 | 2009-09-29 |
| 1922231182 | Andrea Joy Feit | Counselor | 136 N San Mateo Dr, Ste 101, San Mateo, CA 94401-2777 | 2009-09-03 |
| 1386872919 | Deanna Lee Simmons | Counselor | 136 N San Mateo Dr, Ste 101, San Mateo, CA 94401-2777 | 2009-06-22 |
| 1477796282 | Judy Miller | Counselor | 136 N San Mateo Dr, Suite 101, San Mateo, CA 94401-2777 | 2009-04-08 |
| 1437396785 | Monteze Lee Gaines | Counselor | 136 N San Mateo Dr, Ste 101, San Mateo, CA 94401-2777 | 2009-01-08 |
| 1265696603 | Laura Carpenter | Counselor | 136 N San Mateo Dr, Suite 101, San Mateo, CA 94401-2777 | 2008-07-15 |
| 1558529065 | Sandra Beretta, Md, Inc | Obstetrics & Gynecology | 136 N San Mateo Dr, Suite 101, San Mateo, CA 94401-2777 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 207NP0225X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Pediatric Dermatology |
| A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295290567 | Coastal Family Dermatology, PC | Dermatology | 892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401-8054 | 2019-01-31 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1881989325 | Heather Irina Rishel | Dermatology | 345 W Portal Ave Ste 320, San Francisco, CA 94127-1429 | 2011-06-13 |
| 1396984423 | Marcia J Glenn Md & Associates Dermatology & Laser Med Ctr Inc | Dermatology | 4644 Lincoln Blvd Ste 500, Marina Del Rey, CA 90292-6391 | 2009-02-12 |
| 1528259744 | Phuong Khuu | Dermatology | 900 Blake Wilbur Dr Rm W0069, Stanford, CA 94305 | 2007-08-05 |
| 1932195567 | Neil Frank Gibbs | Dermatology | 34520 Bob Wilson Dr, Dermatology Department, Naval Medical Center, San Diego, CA 92134-2300 | 2005-09-20 |
| 1467811653 | Valley Children's Medical Group - Dept of Dermatology | Dermatology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2016-02-16 |
| 1447620539 | Valley Children's Specialty Medical Group - Dept of Dermatology | Dermatology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2015-10-01 |
| 1437594884 | Jessica Sprague | Dermatology | 8010 Frost St Ste 602, San Diego, CA 92123 | 2013-04-29 |
| 1366725590 | Pediatric Dermatology of Orange County PC | Dermatology | 3500 Barranca Pkwy, Ste 160, Irvine, CA 92606-8226 | 2011-09-23 |
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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.