Jasmine M Halloran (NPI# 1124090162, PAC ID# 8123084514) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1124090162 |
| PAC ID by PECOS | 8123084514 |
| Professional Enrollment ID | I20080618000515 |
| Full Name | Jasmine M Halloran |
| Organization Legal Name | EDEN EMERGENCY MEDICAL GROUP INC |
| Address |
20103 Lake Chabot Rd Castro Valley CA 94546-5305 |
| Phone Number | 5105371234 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012802333 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 5105371234 | EDEN EMERGENCY MEDICAL GROUP INC |
| Organization Legal Name | EDEN EMERGENCY MEDICAL GROUP INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sushma V Shah | Emergency Medicine | Eden Emergency Medical Group Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Claire H Lyons | Emergency Medicine | Eden Emergency Medical Group Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Barbara L Bond | Emergency Medicine | Eden Emergency Medical Group Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Nathalie Jean Coeller | Emergency Medicine | Eden Emergency Medical Group Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Robyn Weiss | Emergency Medicine | Eden Emergency Medical Group Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Merrill A. Chandler | Emergency Medicine | Eden Emergency Medical Group Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Ben Edward Meek | Emergency Medicine | Eden Emergency Medical Group Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Scott W Powell | Emergency Medicine | Eden Emergency Medical Group Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Tatiana Marie Mamantov | Emergency Medicine | Eden Emergency Medical Group Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Alexei Adan | Emergency Medicine | Eden Emergency Medical Group Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Street Address |
20103 LAKE CHABOT RD |
| City | CASTRO VALLEY |
| State | CA |
| Zip | 94546-5305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Nuckton | Critical Care (intensivists) | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | |
| Mirwais Amoni | Internal Medicine | Sutter Bay Medical Foundation | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Phuong D Vo | Anesthesiology | Alameda Anesthesia Associates Medical Group, Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Shawn K Kaku | Critical Care (intensivists) | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | |
| Sushma V Shah | Emergency Medicine | Eden Emergency Medical Group Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Samir Sairam | Family Medicine | Sutter Bay Medical Foundation | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Andrew J Neiheisel | Anesthesiology | Alameda Anesthesia Associates Medical Group, Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Frank H Kim | Neurology | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | |
| Debra Gologorsky | Pathology | Alta East Bay Pathology, Inc. | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Yolanda Q Tam | Anesthesiology | Alameda Anesthesia Associates Medical Group, Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirsten Toverud Severson | Psychologist, Clinical | 18037 Joseph Dr, Castro Valley, CA 94546-1303 | |
| Martha Singer | Orthopedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | |
| Ravi S Panjabi | Anesthesiology | Ravi Panjabi, Inc | 19850 Lake Chabot Rd, Castro Valley, CA 94546-4002 |
| Robert E Martin | Orthopedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | |
| Evan Scott Collier | Family Medicine | Ravi Panjabi, Inc | 19850 Lake Chabot Rd, Castro Valley, CA 94546-4002 |
| Gregg Pottorff | Orthopedic Surgery | Bay Area Surgical Specialists Inc A Medical Corporation | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 |
| Robert Scott Forster | Orthopedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | |
| Alexander M Reyzelman | Podiatry | Bay Area Foot Care, Inc | 19845 Lake Chabot Rd, Suite 301, Castro Valley, CA 94546-4055 |
| Carolyn Elizabeth Mcaloon | Podiatry | Bay Area Foot Care, Inc | 19845 Lake Chabot Rd, Suite 301, Castro Valley, CA 94546-4055 |
| Judianne M Walker | Podiatry | Bay Area Foot Care, Inc | 19845 Lake Chabot Rd, Suite 301, Castro Valley, CA 94546-4055 |
| Find all physicians in zip 94546 | |||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CASTRO VALLEY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jasmine M Halloran.
| 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.