MICHAEL B JORGENSEN (NPI# 1457302101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457302101 |
| Entity Type | Individual |
| Full Name | MICHAEL B JORGENSEN |
| Credential | PA-C |
| Practice Address |
450 Broadway St Pavilion A, 2nd Floor Redwood City CA 94063-3132 |
| Practice Telephone | 8186216612 |
| Mailing Telephone | 8186216612 |
| Mailing Fax Number | 6507235643 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2009-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 01693T | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| JOHN DEERE HEALTH | IA01B9 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558675157 | Michael Wade Jorgensen | Optometrist | 187 Burt Blvd, Ste A, Benton, LA 71006-4905 | 2010-08-06 |
| 1881802742 | Michael Jorgensen | Chiropractor | 3411 Fiechtner Dr S, Fargo, ND 58103-2361 | 2007-05-21 |
| 1306803267 | Michael Gordon Jorgensen | Chiropractor | 1110 Buckeye Avenue, Ames, IA 50010-8063 | 2006-04-26 |
| 1760911168 | Michael Jorgensen | Family Medicine | 200 Hawkins Dr, Department of Family Medicine, Iowa City, IA 52242-1009 | 2017-06-08 |
| 1831390145 | Michael Jorgensen | Dentist | 3151 S Hoover St, Los Angeles, CA 90089-7792 | 2007-05-31 |
| 1235200288 | Michael B. Jorgensen | Internal Medicine | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-13 |
| Street Address |
450 BROADWAY ST PAVILION A, 2ND FLOOR |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675181 | Sumaira Zareen Aasi | Dermatology | 450 Broadway St, Pavilion B, 4th Floor, Redwood City, CA 94063-3132 | 2005-11-03 |
| 1174137186 | Whitney L Weyhing | Family Medicine | 450 Broadway St, Redwood City, CA 94063-3132 | 2020-09-07 |
| 1659983088 | Iain Robert Murray | Student in an Organized Health Care Education/Training Program | 450 Broadway St, Redwood City, CA 94063-3132 | 2020-08-18 |
| 1366062770 | George Bugarinovic | Student in an Organized Health Care Education/Training Program | 450 Broadway St, Redwood City, CA 94063-3132 | 2020-04-26 |
| 1629625793 | Dokyoung Sophia You | Psychologist | 450 Broadway St, Redwood City, CA 94063-3132 | 2019-08-22 |
| 1265095350 | Kenneth Miller | Student in an Organized Health Care Education/Training Program | 450 Broadway St, Redwood City, CA 94063-3132 | 2019-04-15 |
| 1568951838 | Lucy Yichu Liu | Student in an Organized Health Care Education/Training Program | 450 Broadway St, Pavilion C, 2nd Floor - Mc5334, Redwood City, CA 94063-3132 | 2018-05-02 |
| 1477079150 | James Khan | Anesthesiology | 450 Broadway St, Redwood City, CA 94063-3132 | 2017-08-15 |
| 1093248619 | Akaila Cabell | Student in an Organized Health Care Education/Training Program | 450 Broadway St, M/c 6342, Redwood City, CA 94063-3132 | 2017-04-10 |
| 1205369964 | Deepak Chona | Student in an Organized Health Care Education/Training Program | 450 Broadway St, M/c 6342, Redwood City, CA 94063-3132 | 2017-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| 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 |
|---|---|---|---|---|
| 1780216598 | Hannah O'brien | Physician Assistant | 18 Spinnaker Pl, Redwood City, CA 94065-1294 | 2020-02-10 |
| 1164966842 | Marie Goldberg | Physician Assistant | 2900 Whipple Ave Ste 205, Redwood City, CA 94062-2851 | 2016-12-14 |
| 1124579149 | Kristina Michelle Gurney | Physician Assistant | 1400 Veterans Blvd Fl 1, Redwood City, CA 94063-2612 | 2016-10-14 |
| 1255684106 | Kerianne Erika Puetz | Physician Assistant | 247b Lincoln Ave, Redwood City, CA 94061-1728 | 2012-10-16 |
| 1902188832 | Delmar J Smith | Physician Assistant | 2900 Whipple Ave Ste 132, Redwood City, CA 94062 | 2011-09-16 |
| 1649559162 | Jamie S Kates | Physician Assistant | 595 Price Ave Ste 200, Redwood City, CA 94063-1464 | 2011-08-15 |
| 1871881755 | Stanley H. Ma | Physician Assistant | 427 Compass Dr, Redwood City, CA 94065-1103 | 2011-07-13 |
| 1780915850 | Rose Ellen Parsons | Physician Assistant | 801 Brewster Ave Ste 240, Redwood City, CA 94063-1558 | 2010-01-28 |
| 1164752515 | Nadine Anaizi | Physician Assistant | 420 Broadway St Fl D2, Redwood City, CA 94063-3132 | 2010-01-07 |
| 1538629712 | Jacqueline Hunter | Physician Assistant | 2900 Whipple Ave, Redwood City, CA 94062-2843 | 2019-03-22 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
Please comment or provide details below to improve the information on MICHAEL B JORGENSEN.
| 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.