JENNIFER BLACK (NPI# 1184791055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184791055 |
| Entity Type | Individual |
| Full Name | JENNIFER BLACK |
| Credential | MD |
| Practice Address |
3733 San Dimas St Bakersfield CA 93301-1407 |
| Practice Telephone | 8003535400 |
| Mailing Telephone | 8003535400 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
A68013 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1689172769 | Jennifer Lee Black | Nurse Practitioner | 14509 State Route 127 Ste B, Carlyle, IL 62231-6485 | 2018-01-24 |
| 1508387309 | Jennifer Black | Assistant Behavior Analyst | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2017-06-30 |
| 1912370354 | Jennifer Black | Social Worker | 609 Independence Pkwy Ste 115, Chesapeake, VA 23320-5209 | 2015-11-06 |
| 1609263821 | Jennifer Black | Acupuncturist | 5812 N Figueroa St, Los Angeles, CA 90042-4228 | 2015-04-26 |
| 1679978191 | Jennifer Black | Counselor | 20302 Col Glenn Road, Little Rock, AR 72210 | 2014-10-27 |
| 1891195749 | Jennifer Black | Counselor | 1518 Andrews Ave Ste D, Ozark, AL 36360-3716 | 2014-08-28 |
| 1669816500 | Jennifer Black | Counselor | 916 Nw 42nd St, Oklahoma City, OK 73118-6805 | 2013-04-22 |
| 1821381096 | Jennifer Black | Counselor | 560 Mill St Ste 250, Reno, NV 89502-1089 | 2011-05-20 |
| 1376872754 | Jennifer A Black | Massage Therapist | 3809 Atrisco Dr Nw, Suite C, Albuquerque, NM 87120-4902 | 2009-12-15 |
| Street Address |
3733 SAN DIMAS ST |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861424376 | Southern California Permanente Medical Group | Health Maintenance Organization | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2006-07-07 |
| 1003149162 | John Garza | Social Worker | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2009-09-08 |
| 1104019637 | Alice Jin Ai Liu | Pharmacist | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-08-17 |
| 1104024181 | Jeffrey Bryant | Marriage & Family Therapist | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-07-11 |
| 1093913949 | Ceri M Hulugalle | Marriage & Family Therapist | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-07-03 |
| 1639377583 | Barbara Shumaker | Social Worker | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-07-03 |
| 1407053366 | Susan Whitney | Marriage & Family Therapist | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-07-02 |
| 1891992954 | Delia Salgado | Marriage & Family Therapist | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-06-29 |
| 1275730699 | Tamara K Turner | Marriage & Family Therapist | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-06-29 |
| 1841494986 | Kenneth D Harlander | Social Worker | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386922011 | Aye Thida Lin | Family Medicine | 8800 Ming Ave, Bakersfield, CA 93311-1308 | 2011-07-29 |
| 1215004361 | Tan Duc Tran | Family Medicine | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2006-11-30 |
| 1710054630 | Oliver J. Droppers | Family Medicine | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2006-11-29 |
| 1891706990 | James Arnold Sproul | Family Medicine | 2201 Mt Vernon Ave, Ste 211, Bakersfield, CA 93306 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516996 | Natasha Harmis | Family Medicine | 1608 Lawndale Rd, El Cajon, CA 92019-3776 | 2020-10-21 |
| 1073135406 | California Gerontology Clinic | Family Medicine | 1042 S Kingsley Dr Ste 3, Los Angeles, CA 90006-2408 | 2020-05-07 |
| 1225657331 | Samantha Lillian Escalera | Family Medicine | 9608 Planter St, Pico Rivera, CA 90660-4743 | 2020-04-09 |
| 1164058897 | Amani A Osman | Family Medicine | 9753 Holder St, Cypress, CA 90630-4004 | 2020-03-13 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1013549914 | Vertini Medical Group Inc | Family Medicine | 1001 W Carson St Ste S, Torrance, CA 90502-2051 | 2020-02-07 |
| 1295297463 | Cedars Family Medicine Inc | Family Medicine | 18021 Sky Park Cir Ste G, Irvine, CA 92614-6569 | 2019-04-04 |
| 1811455967 | Hope Geriatric Medical Center Inc | Family Medicine | 9 Coursan, Laguna Niguel, CA 92677-8902 | 2019-03-07 |
| 1245702174 | Jonah Medical Group Inc | Family Medicine | 20627 Golden Springs Dr Ste D, Walnut, CA 91789-4814 | 2018-12-17 |
| 1104392885 | Wilshire Connected Care | Family Medicine | 277 South St Ste S, San Luis Obispo, CA 93401-5039 | 2018-10-19 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
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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.