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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
17560 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2500 MERCED STREET |
City | SAN LEANDRO |
State | CA |
Zip Code | 94577-4201 |
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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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 |
Find all providers in zip 94577 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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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---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
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 |
1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
Find all providers with the same taxonomy |
City | SAN LEANDRO |
Zip Code | 94577 |
Please comment or provide details below to improve the information on MS. JENNIFER L. BAHM.
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.