JENNIFER L SORRELL


Address: 136 N San Mateo Dr, San Mateo, CA 94401
Phone: 6503481242

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
780 Welch Rd, Cj220-28, Palo Alto, CA 943041516 6504978000

Other Providers JENNIFER SORRELL

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

Office Location

Street Address 136 N SAN MATEO DR
City SAN MATEO
State CA
Zip Code 94401

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207NP0225X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Pediatric Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City SAN MATEO
Zip Code 94401

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Dataset Information

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.

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