Jenny Jie Bao (NPI# 1295029882, PAC ID# 3072736321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295029882 |
| PAC ID by PECOS | 3072736321 |
| Professional Enrollment ID | I20170728002462 |
| Full Name | Jenny Jie Bao |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Address |
6 Willard Irvine CA 92604-4694 |
| Phone Number | 9492625600 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6002729175 |
| Number of Group Practice Members | 7666 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5475 E La Palma Ave, Anaheim, CA 92807-2075 | 7142796088 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| 6 Willard, Irvine, CA 92604-4694 | 9492625600 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Physicians | 10172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chengjie Zheng | Ophthalmology | Southern California Permanente Medical Group | 9449 Imperial Hwy, Downey, CA 90242-2814 |
| Dong Joo Kim | Dermatology | Southern California Permanente Medical Group | 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 |
| Terese S Bergheim | Dermatology | Southern California Permanente Medical Group | 12100 Euclid St, Garden Grove, CA 92840-3304 |
| Nabeel Rashid Hameed | Family Medicine | Southern California Permanente Medical Group | 4949 Market St, Ventura, CA 93003-7851 |
| Linda Marie Silver | Clinical Social Worker | Southern California Permanente Medical Group | 2081 Palos Verdes N Dr, Lomita, CA 90717-3701 |
| Erik James Ryo Murata | Physical Therapy | Southern California Permanente Medical Group | 411 N Lakeview Ave, Anaheim, CA 92807-3028 |
| Natasha D Irving | Obstetrics/gynecology | Southern California Permanente Medical Group | 1200 Discovery Dr, Bakersfield, CA 93309-7032 |
| May Sanguanlosit | Optometry | Southern California Permanente Medical Group | 27201 Tourney Rd, Santa Clarita, CA 91355-1854 |
| Neepa Shah | Ophthalmology | Southern California Permanente Medical Group | 75036 Gerald Ford Dr, Palm Desert, CA 92211-2080 |
| Gabrielle E Brown | Dermatology | Southern California Permanente Medical Group | 18600 S Figueroa St, Gardena, CA 90248-4505 |
| Street Address |
6 WILLARD |
| City | IRVINE |
| State | CA |
| Zip | 92604-4694 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marit K Kreidel | Dermatology | Southern California Permanente Medical Group | 6 Willard, Irvine, CA 92604-4694 |
| Michael A Olerich | Internal Medicine | Southern California Permanente Medical Group | 6 Willard, Irvine, CA 92604-4694 |
| Cheri C Lin | Allergy/immunology | Southern California Permanente Medical Group | 6 Willard, Irvine, CA 92604-4694 |
| David R Huebner-chan | Pathology | Southern California Permanente Medical Group | 6 Willard, Irvine, CA 92604-4694 |
| Ivan Y Yee | Internal Medicine | Southern California Permanente Medical Group | 6 Willard, Irvine, CA 92604-4694 |
| Ani A Atoian | Family Medicine | Southern California Permanente Medical Group | 6 Willard, Irvine, CA 92604-4694 |
| Aparche B Yang | Dermatology | Southern California Permanente Medical Group | 6 Willard, Irvine, CA 92604-4694 |
| Payal S Patel | Dermatology | Southern California Permanente Medical Group | 6 Willard, Irvine, CA 92604-4694 |
| Kim C Brown | Nurse Practitioner | Southern California Permanente Medical Group | 6 Willard, Irvine, CA 92604-4694 |
| Alan D Evans | Family Medicine | Southern California Permanente Medical Group | 6 Willard, Irvine, CA 92604-4694 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon Lee | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 14330 Culver Dr, Irvine, CA 92604-0303 |
| Steve S Kim | Chiropractic | 14210 Culver Dr, Suite E, Irvine, CA 92604-0310 | |
| Virgil D Holland Jr. | Optometry | 14210 Culver Dr, F, Irvine, CA 92604-0313 | |
| Laszlo Kaveggia | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 14150 Culver Dr, Irvine, CA 92604-0315 |
| Duke Nguyen | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 14150 Culver Dr, Irvine, CA 92604-0315 |
| Afshin Karimi | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 14150 Culver Dr, Irvine, CA 92604-0315 |
| Mark S Vanhouten | Neurology | 14150 Culver Dr, Irvine, CA 92604-0315 | |
| Maryam Rahnemun | Family Medicine | 14150 Culver Dr, Suite 105, Irvine, CA 92604-0322 | |
| Melissa Walls | Physical Therapy | Envision Sport Physical Therapy and Pilates | 14150 Culver Dr, Suite 103, Irvine, CA 92604-0322 |
| Antoine Mourra | Family Medicine | Irvine Family Practice Medical | 14150 Culver Dr, Suite 100, Irvine, CA 92604-0322 |
| Find all physicians in zip 92604 | |||
| City | IRVINE |
| Zip Code | 92604 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | IRVINE + FAMILY MEDICINE |
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| 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.