JACLYN J CHEN (NPI# 1942520630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942520630 |
| Entity Type | Individual |
| Full Name | JACLYN J CHEN |
| Credential | M.D. |
| Practice Address |
350 30th St Ste 100 Oakland CA 94609 |
| Mailing Address |
2350 W El Camino Real Fl 2 Mountain View CA 94040-6203 |
| Practice Telephone | 5102048168 |
| Practice Fax Number | 5105067725 |
| Mailing Telephone | 5102048168 |
| Mailing Fax Number | 5105067725 |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A120533 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL LICENSE | A120533 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2315 Stockton Blvd Rm 6309, Sacramento, CA 958172201 | 9167342724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303073 | Jaclyn L. Chen | Student in an Organized Health Care Education/Training Program | 101 Nicolls Rd Rm 20, Stony Brook, NY 11794-0001 | 2020-03-31 |
| Street Address |
350 30TH ST STE 100 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942388079 | Richard R. Unger | Internal Medicine | 350 30th St Ste 100, Oakland, CA 94609 | 2006-11-02 |
| 1043733983 | Seema Prakash Shah | Family Medicine | 350 30th St Ste 100, Oakland, CA 94609 | 2017-07-23 |
| 1265845200 | Especianise Loresca | Family Medicine | 350 30th St Ste 100, Oakland, CA 94609 | 2014-06-06 |
| 1285892117 | Shalini Kumari Vaid | Family Medicine | 350 30th St Ste 100, Oakland, CA 94609-3422 | 2008-05-28 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063750099 | Dawud Omar Lankford | Urology | 3300 Webster St Ste 710, Oakland, CA 94609 | 2013-01-25 |
| 1750571360 | Christopher Welty | Urology | 3300 Webster St 710, Oakland, CA 94609-3122 | 2007-07-30 |
| 1417016676 | Daniel H Neustein | Urology | 180 Grand Ave Newton Medical Group, Suite 100, Oakland, CA 94612 | 2006-12-06 |
| 1003995648 | Qingwei Robert Yan | Urology | 3100 Telegraph Ave Ste 3000, Oakland, CA 94609-3210 | 2006-11-03 |
| 1093806200 | Joseph Flannery Lopes | Urology | 9 Pleasant Street, Suite 2, Oakland, ME 04963 | 2006-09-27 |
| 1225476989 | Shu Pan | Urology | 3300 Webster St Ste 710, Oakland, CA 94609-3122 | 2013-06-04 |
| 1689972101 | Nadya M. Cinman | Urology | 275 W Macarthur, Oakland, CA 94611-5641 | 2011-03-08 |
| 1376781286 | Sarah Dawn Blaschko | Urology | 1411 E 31st St # 22134, Oakland, CA 94602-1092 | 2009-01-30 |
| 1659534618 | Hua-yin Yu | Urology | 275 W Macarthur, Oakland, CA 94611-5641 | 2008-07-09 |
| 1912183716 | Wayland Hsiao | Urology | 275 W Macarthur, Oakland, CA 94611-5641 | 2008-01-11 |
| Find all providers in OAKLAND | ||||
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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.