Jaseon Outlaw (NPI# 1861747552, PAC ID# 0749560449) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1861747552 |
| PAC ID by PECOS | 0749560449 |
| Professional Enrollment ID | I20161215002226 |
| Full Name | Jaseon Outlaw |
| Address |
13847 E 14th St Suite 202 San Leandro CA 94578-2626 |
| Phone Number | 5104631302 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13847 E 14th St, Suite 202, San Leandro, CA 94578-2626 | 5104631302 |
| Street Address |
13847 E 14TH ST SUITE 202 |
| City | SAN LEANDRO |
| State | CA |
| Zip | 94578-2626 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chaplin Liu | Internal Medicine | 13847 E 14th St, Suite 209, San Leandro, CA 94578-2626 | |
| Daniel C Anderson | General Practice | 13847 E 14th St, Suite 101, San Leandro, CA 94578-2625 | |
| Kristina M Kury | Critical Care (intensivists) | East Bay Regional Critical Care and Pulmonary Medicine Inc | 13847 E 14th St, Suite 216, San Leandro, CA 94578-2626 |
| Clarence A Boyd Jr. | Orthopedic Surgery | 13847 E 14th St, Suite 106, San Leandro, CA 94578-2625 | |
| Arkady Oreper | Psychiatry | 13847 E 14th St, Suite 204, San Leandro, CA 94578-2626 | |
| Petr Utrata | Internal Medicine | 13847 E 14th St, Suite 107, San Leandro, CA 94578-2625 | |
| Vinod K Sawhney | Gastroenterology | 13847 E 14th St, Suite 101, San Leandro, CA 94578-2625 | |
| Ronald L Rubenstein | Otolaryngology | Bay Area Ear, Nose, and Throat Medical Group | 13847 E 14th St, Suite 200, San Leandro, CA 94578-2626 |
| Andrea L Green | Pulmonary Disease | East Bay Regional Critical Care and Pulmonary Medicine Inc | 13847 E 14th St, Suite 216, San Leandro, CA 94578-2626 |
| Justin P Dumouchel | Pulmonary Disease | East Bay Regional Critical Care and Pulmonary Medicine Inc | 13847 E 14th St, Suite 216, San Leandro, CA 94578-2626 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Fordham | Psychiatry | Alameda Health System | 2060 Fairmont Dr, San Leandro, CA 94578-1001 |
| Japsharan Gill | Psychiatry | Alameda Health System | 2060 Fairmont Dr, San Leandro, CA 94578-1001 |
| Jamie L Lacsina | Psychiatry | Alameda Health System | 2060 Fairmont Dr, San Leandro, CA 94578-1001 |
| Shabeg S Gondara | Psychiatry | Alameda Health System | 2060 Fairmont Dr, San Leandro, CA 94578-1001 |
| Karen T Marcus | Psychiatry | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| I Fei Chen | Family Practice | Alameda Health System | 15400 Foothill Blvd H, San Leandro, CA 94578-1009 |
| Emma B Shak | Internal Medicine | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| Mary Ann S Gelera | Nurse Practitioner | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| Denise S Tukenmez | Obstetrics/gynecology | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| Reena J Cho | Nurse Practitioner | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| Find all physicians in zip 94578 | |||
| City | SAN LEANDRO |
| Zip Code | 94578 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | SAN LEANDRO + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jaseon Outlaw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.