DR. JENNIFER LYNN MARTELLE TU (NPI# 1497071799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497071799 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN MARTELLE TU |
| Credential | MD, PH.D. |
| Practice Address |
744 52nd St Fl 5 Oakland CA 94609-1810 |
| Practice Telephone | 5104283590 |
| Practice Fax Number | 2106013974 |
| Mailing Telephone | 5104283590 |
| Mailing Fax Number | 2106013974 |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
D0081585 | MD | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
0101260298 | VA | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
MD044142 | DC | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
A119228 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
744 52ND ST FL 5 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770577652 | Allen David Bott | Psychiatry & Neurology | 3120 Webster St, Oakland, CA 94609-3421 | 2005-09-07 |
| 1174848238 | Ali Mostajelean | Psychiatry & Neurology | 747 52nd St, Neurology Department, Oakland, CA 94609-1809 | 2010-04-01 |
| 1023286549 | Rachel Ann Kuperman | Psychiatry & Neurology | 747 52nd St, Oakland, CA 94609-1809 | 2008-02-19 |
| 1912071507 | Lisa D. Griffin | Psychiatry & Neurology | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-11-17 |
| 1912085788 | Jean C. Hayward | Psychiatry & Neurology | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1447368410 | Daniel Charles Birnbaum | Psychiatry & Neurology | 747 52nd St, Department of Neurology, Oakland, CA 94609-1809 | 2006-08-29 |
| 1396765129 | Sabrina E. Smith | Psychiatry & Neurology | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-07-21 |
| 1528093606 | Amit Malhotra | Psychiatry & Neurology | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144797937 | A Fine Balance | Psychiatry & Neurology | 4200 Scotts Valley Dr Ste E, Scotts Valley, CA 95066-4539 | 2018-10-30 |
| 1619321791 | Prohealth Partners A Medical Group Inc | Psychiatry & Neurology | 16300 Sand Canyon Ave Ste 488, Irvine, CA 92618-3711 | 2016-04-14 |
| 1811381882 | Sinifunanya Nwaobi | Psychiatry & Neurology | 100 Ucla Medical Plaza Suite 245, Los Angeles, CA 90095-7419 | 2015-03-26 |
| 1366857260 | Prohealth Partners A Medical Group Inc | Psychiatry & Neurology | 26800 Crown Valley Pkwy Ste 510, Mission Viejo, CA 92691-8028 | 2014-06-30 |
| 1316387830 | Melissa Przeklasa Auth Md Professional Corporation | Psychiatry & Neurology | 30131 Town Center Dr Ste 195, Laguna Niguel, CA 92677-2040 | 2013-06-28 |
| 1538432463 | Joao Siffert | Psychiatry & Neurology | 18277 Via Ascenso, Rancho Santa Fe, CA 92067-2802 | 2012-02-23 |
| 1396043006 | Peter Himber | Psychiatry & Neurology | 1525 North Tustin Avenue, Santa Ana, CA 92705 | 2011-03-03 |
| 1902123060 | Danilo Reyes Bernardo Jr. | Psychiatry & Neurology | 10833 Le Conte Ave Ste 22-474, Los Angeles, CA 90095-4221 | 2010-04-29 |
| 1912231705 | Audrey Christine Brumback | Psychiatry & Neurology | Ucsf Dept of Neurology 505 Parnassus Ave, Room M798, Box 0114, San Francisco, CA 94143-0001 | 2009-09-25 |
| 1356675573 | Thomas Mani Kurian | Psychiatry & Neurology | 25775 Mcbean Pkwy Ste 106, Valencia, CA 91355-3702 | 2009-09-21 |
| Find all providers with the same taxonomy | ||||
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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.