Jeanie J Ahn (NPI# 1053359356, PAC ID# 8022180967) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1053359356 |
| PAC ID by PECOS | 8022180967 |
| Professional Enrollment ID | I20080709000385 |
| Full Name | Jeanie J Ahn |
| Organization Legal Name | CHABOT NEPHROLOGY MEDICAL GROUP INC |
| Address |
1999 Mowry Ave Suite R Fremont CA 94538-1723 |
| Phone Number | 4806106158 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 5092703454 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050195 | WASHINGTON HOSPITAL |
| 050002 | ST ROSE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1999 Mowry Ave, Suite R, Fremont, CA 94538-1723 | 4806106158 | CHABOT NEPHROLOGY MEDICAL GROUP INC |
| 27206 Calaroga Ave, Suite 105, Hayward, CA 94545-4300 | 4806106158 | CHABOT NEPHROLOGY MEDICAL GROUP INC |
| 388 9th St, Suite 218, Oakland, CA 94607-4293 | 4806106158 | CHABOT NEPHROLOGY MEDICAL GROUP INC |
| Organization Legal Name | CHABOT NEPHROLOGY MEDICAL GROUP INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Suching Yu | Nephrology | Chabot Nephrology Medical Group Inc | 27206 Calaroga Ave, Suite 105, Hayward, CA 94545-4300 |
| Yvonne Y Chen | Nephrology | Chabot Nephrology Medical Group Inc | 27206 Calaroga Ave, Suite 105, Hayward, CA 94545-4300 |
| Hamoudi Al Bander | Nephrology | Chabot Nephrology Medical Group Inc | 27206 Calaroga Ave, Suite 105, Hayward, CA 94545-4300 |
| Archana Aggarwal | Nephrology | Chabot Nephrology Medical Group Inc | 27206 Calaroga Ave, Suite 105, Hayward, CA 94545-4300 |
| Gwendolen Y Chang | Nephrology | Chabot Nephrology Medical Group Inc | 27206 Calaroga Ave, Suite 105, Hayward, CA 94545-4300 |
| Leena Mehandru | Nephrology | Chabot Nephrology Medical Group Inc | 27206 Calaroga Ave, Suite 105, Hayward, CA 94545-4300 |
| Qi Che | Nephrology | Chabot Nephrology Medical Group Inc | 1999 Mowry Ave, Suite R, Fremont, CA 94538-1723 |
| Varun Chawla | Nephrology | Chabot Nephrology Medical Group Inc | 1999 Mowry Ave, Suite R, Fremont, CA 94538-1723 |
| Peter L Lunny | Nephrology | Chabot Nephrology Medical Group Inc | 1999 Mowry Ave, Suite R, Fremont, CA 94538-1723 |
| Guity Farahmand | Nephrology | Chabot Nephrology Medical Group Inc | 27206 Calaroga Ave, Suite 105, Hayward, CA 94545-4300 |
| Street Address |
1999 MOWRY AVE SUITE R |
| City | FREMONT |
| State | CA |
| Zip | 94538-1723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Qi Che | Nephrology | Chabot Nephrology Medical Group Inc | 1999 Mowry Ave, Suite R, Fremont, CA 94538-1723 |
| Varun Chawla | Nephrology | Chabot Nephrology Medical Group Inc | 1999 Mowry Ave, Suite R, Fremont, CA 94538-1723 |
| Peter L Lunny | Nephrology | Chabot Nephrology Medical Group Inc | 1999 Mowry Ave, Suite R, Fremont, CA 94538-1723 |
| Rao Sunkavally | Urology | 1999 Mowry Ave, 2d, Fremont, CA 94538-1706 | |
| Vani Velkuru | Rheumatology | 1999 Mowry Ave, 2i, Fremont, CA 94538-1706 | |
| John P Heine | Urology | John Heine Md and Mark Avon Md Ptrs | 1999 Mowry Ave, 2m, Fremont, CA 94538-1706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Basil R Besh | Orthopedic Surgery | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Joshua Ramos | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Fremont, CA 94538-1015 |
| Kevin Ngai Ming Yeung | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Geeta Nasika | Physical Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Marci C Kneeter | Physical Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1015 |
| Kelly Trautman | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Emily Hartnett | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Joshua M Matthews | Orthopedic Surgery | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1015 |
| Troy Clark Shelton | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Joan P Ferrari | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Find all physicians in zip 94538 | |||
| City | FREMONT |
| Zip Code | 94538 |
| Specialty | NEPHROLOGY |
| City + Specialty | FREMONT + NEPHROLOGY |
Please comment or provide details below to improve the information on Jeanie J Ahn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.