JENNY QUAN


Address: 2300 Mendocino Ave Ste 4, Santa Rosa, CA 95403-3115
Phone: 8009725547

JENNY QUAN (NPI# 1588139091) 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) 1588139091
Entity Type Individual
Full Name JENNY QUAN
Credential PA
Practice Address 2300 Mendocino Ave Ste 4
Santa Rosa
CA 95403-3115
Mailing Address 325 Distel Cir
Los Altos
CA 94022-1408
Practice Telephone 8009725547
Mailing Telephone 8009725547
Enumeration Date 2018-10-11
Last Update Date 2020-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 55882 CA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
55882 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2339 Almond Ave, Concord, CA 945202027 9256876111

Office Location

Street Address 2300 MENDOCINO AVE STE 4
City SANTA ROSA
State CA
Zip Code 95403-3115

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912549841 Abundance Acupuncture Healing Clinic Acupuncturist 3410 Mendocino Avenue, Santa Rosa, CA 95403 2019-10-11
1982161337 Crystal J Ward Registered Nurse 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 2019-02-21
1033674379 George Edward Griese Respiratory Therapist, Registered 501 Bicentennial Way, Santa Rosa, CA 95403 2019-01-31
1508320672 East-west Natural Medicine Inc. Acupuncturist 2200 Range Ave #207, Santa Rosa, CA 95403 2019-01-23
1316410640 Lionel C Cooper Counselor 315 Mark West Springs Road, Santa Rosa, CA 95403 2019-01-09
1326519182 Jkb Solutions Inc. In Home Supportive Care 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 2018-12-05
1487121265 Catholic Charities of The Diocese of Santa Rosa Clinic/Center 987 Airway Ct, Santa Rosa, CA 95403 2018-10-30
1447746524 Lisa Jean Quang Optometrist 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 2018-07-02
1598253353 Jennifer Renee Lummus Community Health Worker 3614 Condo Court, Santa Rosa, CA 95403 2018-04-27
1871042366 Sadie Thuet Marriage & Family Therapist 3434 A Mendocino Ave, Santa Rosa, CA 95403 2016-09-26
Find all providers in zip 95403

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760978506 Rhett Chandler Lacey Physician Assistant 545 Caber Dr, Santa Rosa, CA 95409-4404 2018-07-05
1417079112 James Thomas Williams Physician Assistant 728 Mendocino Ave, Santa Rosa, CA 95401-4804 2007-04-04
1356491112 Jaremy Lowe Kwock Physician Assistant 525 Doyle Park Dr Ste 102, Santa Rosa, CA 95405-4562 2007-01-11
1235203274 Ann S Bruner-welch Physician Assistant 401 Bicentennial Way # 120, Santa Rosa, CA 95403-2149 2006-11-20
1770672925 Robert Evan Crenshaw Physician Assistant 401 Bicentennial Way Ste 120, Santa Rosa, CA 95403-2149 2006-10-12
1982640298 Amy K Jones Physician Assistant 1221 N Dutton Ave, Concentra Medical Group, Santa Rosa, CA 95401-4607 2006-06-22
1821068669 Christine J Perkowska Physician Assistant 583 Summerfield Rd, Santa Rosa, CA 95405-5239 2006-01-24
1649265976 Heather Noel Silva Physician Assistant 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 2005-09-13
1538167226 Wendy A Williams Physician Assistant 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 2005-07-07
1891335766 Erin Fisher Physician Assistant 3883 Airway Dr, Santa Rosa, CA 95403-1670 2020-01-08
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95403

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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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