JENNIFER JANE BLEVINS (NPI# 1124357066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124357066 |
| Entity Type | Individual |
| Full Name | JENNIFER JANE BLEVINS |
| Credential | PA-C |
| Practice Address |
6719 Alvarado Rd Suite 308 San Diego CA 92120 |
| Mailing Address |
6719 Alvarado Rd. Suite 308 San Diego CA 92120 |
| Practice Telephone | 6192657912 |
| Practice Fax Number | 6192657922 |
| Mailing Telephone | 6192657912 |
| Mailing Fax Number | 6192657922 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2017-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA20701 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073159745 | Jennifer D Blevins | Nurse Practitioner | 970 N Morton St, Franklin, IN 46131-1373 | 2019-11-18 |
| 1629424742 | Jennifer Blevins | Nurse Practitioner | 1090 Ne Gateway Ct Ne, Suite 202, Concord, NC 28025-2414 | 2016-05-07 |
| 1629394986 | Jennifer Blevins | Registered Nurse | 104 Big Bend Ranch Road, Wadsworth, NV 89442 | 2010-04-12 |
| 1184704298 | Jennifer M Blevins | Physician Assistant | 510 Butler Ave, Martinsburg, WV 25401-9990 | 2006-10-16 |
| 1750499661 | Jennifer L Blevins | Physical Therapy Assistant | 10 Warren Rd, Suite 220, Cockeysville, MD 21030-2506 | 2006-08-29 |
| 1245347095 | Jennifer A Blevins | Occupational Therapist | 830 S Addison Ave, Villa Park, IL 60181-2877 | 2006-08-25 |
| Street Address |
6719 ALVARADO RD SUITE 308 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607867 | Jonathan J. Myer | Orthopaedic Surgery | 6719 Alvarado Rd, Ste 200, San Diego, CA 92120-5256 | 2005-05-24 |
| 1598216434 | Donald Oliver Morgenson | Specialist/Technologist | 6719 Alvarado Rd, Suite 200, San Diego, CA 92120-5270 | 2016-10-15 |
| 1689027427 | Stephanie Lauren Haua | Physician Assistant | 6719 Alvarado Rd, Suite 308, San Diego, CA 92120-5270 | 2016-07-17 |
| 1710342654 | Elise S. Brown, Md, A Professional Corporation | Obstetrics & Gynecology | 6719 Alvarado Rd, Suite 302, San Diego, CA 92120-5270 | 2015-12-18 |
| 1013386432 | Silpa Reddy | Internal Medicine | 6719 Alvarado Rd, Suite 108, San Diego, CA 92120-5270 | 2015-09-15 |
| 1811313067 | Pain Solutions Inc | Anesthesiology | 6719 Alvarado Rd, San Diego, CA 92120-5270 | 2014-03-12 |
| 1447521687 | Infusion Solutions of California, Inc. | Clinic/Center | 6719 Alvarado Rd, Suite 206, San Diego, CA 92120-5270 | 2012-01-19 |
| 1114297892 | Michael Nussbaum, M.d., Inc. | Anesthesiology | 6719 Alvarado Rd, San Diego, CA 92120-5270 | 2012-01-11 |
| 1528340437 | Sameti-birdjandi Medical Group | Anesthesiology | 6719 Alvarado Rd, Suite 100, San Diego, CA 92120-5270 | 2011-09-16 |
| 1851530711 | Spine Institute of San Diego, Inc | Specialist | 6719 Alvarado Rd, Suite 308, San Diego, CA 92120-5270 | 2009-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| 1639776503 | Nathan Tuan Dinh | Physician Assistant | 8296 Via Escalada, San Diego, CA 92129-2223 | 2020-10-05 |
| 1750988671 | Denise Aquino | Physician Assistant | 7322 Mesa College Dr Apt 7, San Diego, CA 92111-4943 | 2020-10-04 |
| 1962009183 | Courtney Krysl | Physician Assistant | 14434 Corte Lampara, San Diego, CA 92129-3818 | 2020-10-01 |
| 1497369284 | Brian Carroll | Physician Assistant | 7242 Melotte St, San Diego, CA 92119-1613 | 2020-08-31 |
| 1871104067 | Satoshi Ikeda | Physician Assistant | 16198 Paseo Del Sur, San Diego, CA 92127-6155 | 2020-08-12 |
| 1760009989 | Lili Tran | Physician Assistant | 8865 Calle Tragar, San Diego, CA 92129-2156 | 2020-07-03 |
| 1245857259 | Kendra Roberta Witt | Physician Assistant | 11396 Poblado Rd, San Diego, CA 92127-1351 | 2020-06-25 |
| 1336766344 | Brandon Scott Johnson | Physician Assistant | 1540 Oliver Ave Apt C, San Diego, CA 92109-5595 | 2020-06-25 |
| 1104441021 | Kira Ann Tellache | Physician Assistant | 4520 Executive Dr Ste 325, San Diego, CA 92121-3087 | 2020-06-16 |
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| 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.