MS. JENNIFER L. BAHM


Address: 2500 Merced Street, San Leandro, CA 94577-4201
Phone: 5104541000

MS. JENNIFER L. BAHM (NPI# 1528124716) 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) 1528124716
Entity Type Individual
Full Name MS. JENNIFER L. BAHM
Credential PA-C
Practice Address 2500 Merced Street
San Leandro
CA 94577-4201
Practice Telephone 5104541000
Practice Fax Number 5107844259
Mailing Telephone 5104541000
Mailing Fax Number 5107844259
Enumeration Date 2006-12-29
Last Update Date 2015-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
17560 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2500 MERCED STREET
City SAN LEANDRO
State CA
Zip Code 94577-4201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114901667 Kiran Mayi Nandamuri Internal Medicine 2500 Merced Street, San Leandro, CA 94577-4201 2005-11-29
1700299260 Uma Vinayagasundaram Pediatrics 2500 Merced Street, Kaiser Foundation Hospital- San Leandro, San Leandro, CA 94577 2014-06-03
1033539143 Solomon H. Young Dietitian, Registered 2500 Merced Street, San Leandro, CA 94577-4201 2014-04-16
1538407481 Cindy Lee Nurse Anesthetist, Certified Registered 2500 Merced Street, San Leandro, CA 94577-4201 2013-01-28
1780948125 Giselle Del Rosario Tan Physical Therapist 2500 Merced Street, San Leandro, CA 94577-4201 2012-06-29
1760716260 Kyle Andrew Drullinger Student in an Organized Health Care Education/Training Program 2500 Merced Street, San Leandro, CA 94577-4201 2009-09-30
1336383652 Kian Mostafavi Surgery 2500 Merced Street, San Leandro, CA 94577-4201 2009-04-30
1255572780 Jessica Mary Zuraw Emergency Medicine 2500 Merced Street, San Leandro, CA 94577-4201 2009-03-12
1558526624 Michelle Ortega Dimaano Physical Therapist 2500 Merced Street, San Leandro, CA 94577-4201 2008-07-28
1255595393 Michael Thomas Madland Student in an Organized Health Care Education/Training Program 2500 Merced Street, San Leandro, CA 94577-4201 2008-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093358574 A Caring Heart Home Health Inc. In Home Supportive Care 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 2019-10-28
1871070052 New Connections Neuropsychology, PC Clinical Neuropsychologist 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 2018-07-20
1790287266 Jennifer Capilla Behavior Technician 333 Estudillo Ave #204, San Leandro, CA 94577 2018-03-01
1891296760 Maryann Kruse Bens Clinical Neuropsychologist 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 2018-02-26
1811406721 Brendon Hoang Nguyen Dentist 145 E 14th St, San Leandro, CA 94577 2017-09-22
1801311774 Calvin Walker Counselor 3801 Teagarden Street, San Leandro, CA 94577 2017-08-11
1184154999 Shauntrinae Mason Marriage & Family Therapist 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 2017-06-14
1912453135 Dr. Marshea Evans Point of Service 1068 E14th Street, San Leandro, CA 94577 2016-08-28
1902252935 Mobility Express Medical Transportation Non-emergency Medical Transport (VAN) 1695 Abram Ct Ste 202, San Leandro, CA 94577 2016-05-09
1194170381 Girls Incorporated of Alameda County Community/Behavioral Health 2251 Bancroft Ave, San Leandro, CA 94577 2016-04-26
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285116020 Paige Elizabeth Anderson Physician Assistant 13690 E 14th St Ste 230, San Leandro, CA 94578-2584 2018-08-29
1316147580 Gee Yen Tsou Physician Assistant 13851 E 14th St Ste 206, San Leandro, CA 94578-2627 2007-07-24
1982171377 Brianne Kathleen Cassidy Physician Assistant 13690 E 14th St Ste 230, San Leandro, CA 94578-2584 2018-10-24
1174053573 Ada Wei Hsin Lien Physician Assistant 13855 E 14th St, San Leandro, CA 94578-2611 2017-06-18
1154455715 Brian Keith Lovely Physician Assistant 2587 Merced Street, San Leandro, CA 94577 2007-03-15
1013016724 Elena Beider Physician Assistant 13851 E 14th St, Suite 102, San Leandro, CA 94578-2631 2006-09-21

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1548867666 Heba Marzouk Al-shoubaki Physician Assistant 633 S Pepper St, Anaheim, CA 92802-1459 2020-10-01
1275140550 Lisa Lynn Passalacqua Physician Assistant 431 7th St, Norco, CA 92860-1671 2020-09-30
1144833989 Trisha Taylor Physician Assistant 10399 Tivoli Way, Yucaipa, CA 92399-6017 2020-08-30
1457963944 Harlan William Monahan Physician Assistant 5210 Del Rio Rd, Sacramento, CA 95822-2519 2020-08-18
1275144313 Sofia Carmen Bustillo Physician Assistant 1709 Coral Pl, Seal Beach, CA 90740-5712 2020-08-12
1124638663 Gayaneh Gharakhani Physician Assistant 1323 E Broadway Apt 110, Glendale, CA 91205-4018 2020-08-07
1144830183 Loc Bao Tran Physician Assistant 8937 Emerson Pl, Rosemead, CA 91770-2813 2020-08-04
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Competitor

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City SAN LEANDRO
Zip Code 94577

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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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