JENNIFER HUDDLESTON, PHYSICIAN ASSISTANT PC (NPI# 1043848062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043848062 |
| Entity Type | Organization |
| Organization Name | JENNIFER HUDDLESTON, PHYSICIAN ASSISTANT PC |
| Practice Address |
1560 E Chevy Chase Dr Ste 200 Glendale CA 91206-4140 |
| Mailing Address |
15500 Marilla St North Hills CA 91343-2127 |
| Practice Telephone | 8184706873 |
| Mailing Telephone | 8184706873 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | JENNIFER HUDDLESTON (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 8184706873 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Thrive Wellness Center For Women | Doing Business As Name - Organization |
| Street Address |
1560 E CHEVY CHASE DR STE 200 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| Find all providers in zip 91206 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437341831 | Sher Institute for Reproductive Medicine Los Angeles Medical Group Chi | Obstetrics & Gynecology | 1520 Chevey Chase Drive, Suite 101, Glendale, CA 91206 | 2007-08-10 |
| 1598868978 | Josephine Weissman Hall | Obstetrics & Gynecology | 1910 W Glenoaks Blvd, Glendale, CA 91201-4690 | 2006-09-07 |
| 1356320816 | Ronald Joseph Castro Sr. | Obstetrics & Gynecology | 5422 W Thunderbird Rd, Suite 14-a, Glendale, AZ 85306-4700 | 2006-01-12 |
| 1609196245 | Kirk Medical Incorporated | Obstetrics & Gynecology | 1505 Wilson Ter, Suite 220, Glendale, CA 91206-4071 | 2010-06-05 |
| 1972747210 | Oneil Culver Inc | Obstetrics & Gynecology | 1614 Victory Blvd, Suite 105, Glendale, CA 91201-2946 | 2009-04-30 |
| 1063656114 | William H Castro Md PC | Obstetrics & Gynecology | 18699 N 67th Ave, Ste 320, Glendale, AZ 85308-7140 | 2009-04-20 |
| 1942417589 | Arizona Obstetrics & Gynecology PC | Obstetrics & Gynecology | 6525 W Sack Dr, Suite 208, Glendale, AZ 85308-7104 | 2007-05-16 |
| 1073726543 | Alice Frausto,m,d,,inc | Obstetrics & Gynecology | 1560 E Chevy Chase Dr, Suite 200, Glendale, CA 91206-4197 | 2007-05-08 |
| 1295955524 | Azizeh Asgari, Md, Inc. | Obstetrics & Gynecology | 1030 S Glendale Ave, Suite 406, Glendale, CA 91205-5612 | 2007-04-27 |
| 1619013604 | Jay A Epstein | Obstetrics & Gynecology | 5757 W. Thunderbird Road, Suite W202, Glendale, AZ 85306-5612 | 2007-01-29 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on JENNIFER HUDDLESTON, PHYSICIAN ASSISTANT PC.
| 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.