MRS. JENNIFER HAYMAN WEISE (NPI# 1477608511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477608511 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER HAYMAN WEISE |
| Credential | PA-C |
| Practice Address |
1981 N Broadway Ste 190 Walnut Creek CA 94596-3671 |
| Practice Telephone | 9259327715 |
| Practice Fax Number | 9259320603 |
| Mailing Telephone | 9259327715 |
| Mailing Fax Number | 9259320603 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 13408 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033540836 | Jennifer Weise | Marriage & Family Therapist | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2013-12-03 |
| 1366735086 | Jennifer Weise | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2011-05-27 |
| Street Address |
1981 N BROADWAY STE 190 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-3671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487651 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 1981 N Broadway Ste 190, Walnut Creek, CA 94596-3671 | 2018-11-27 |
| 1992271415 | American Current Care of California, A Medical Corporation | Clinic/Center | 1981 N Broadway Ste 190, Walnut Creek, CA 94596-3671 | 2018-10-23 |
| 1215058037 | John Robert Collen | Physician Assistant | 1981 N Broadway Ste 190, Walnut Creek, CA 94596-3817 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| 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 |
|---|---|---|---|---|
| 1649897455 | Zoryana Dougan | Physician Assistant | 125 Near Ct Apt 641, Walnut Creek, CA 94596-5665 | 2020-06-26 |
| 1366077612 | Devi Satish Sharma | Physician Assistant | 1755 Trinity Ave Apt 23, Walnut Creek, CA 94596-4019 | 2020-03-06 |
| 1558846063 | Alfredo Cortez Melendez | Physician Assistant | 1461 Creekside Dr Apt 3015, Walnut Creek, CA 94596-5646 | 2018-10-01 |
| 1508340514 | Leah Benner | Physician Assistant | 370 N Wiget Ln Ste 125, Walnut Creek, CA 94598-2546 | 2018-09-17 |
| 1275046492 | Drew Sachwitz | Physician Assistant | 601 Cesar Ct, Walnut Creek, CA 94598-2208 | 2017-11-09 |
| 1801268164 | Clifford Porter | Physician Assistant | 1791 Castle Hill Rd, Walnut Creek, CA 94595-2312 | 2015-10-27 |
| 1629411145 | Janibel Melendez Mandap | Physician Assistant | 2255 Ygnacio Valley Rd Ste G, Walnut Creek, CA 94598-3335 | 2013-04-15 |
| 1356598403 | Elizabeth Maria Oconnor | Physician Assistant | 1601 Ygnacio Valley Rd., John Muir Medical Center, Walnut Creek, Walnut Creek, CA 94598 | 2008-08-20 |
| 1609085760 | Karen A Hauser | Physician Assistant | 1990 N. Calfornia Blvd., Suite 400, Walnut Creek, CA 94596-7249 | 2007-05-22 |
| 1083755862 | Patricia K Loo | Physician Assistant | 106 La Casa Via Ste 240, Walnut Creek, CA 94598-3012 | 2007-02-12 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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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.