Michael Sam Jennis
MD | Pediatrics | Male
Michael Sam Jennis, MD is a Oakland, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michael Sam Jennis is
275 W Macarthur, Oakland, California - 94611-5641. He can be contacted on phone at
510-752-1000.
Michael Sam Jennis is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael Sam Jennis is
1568540367 which was assigned by NPPES on 01 Nov, 2006 and it was last updated on 14 Nov, 2014.
Michael Sam Jennis license number is
G47237 for Pediatrics (208000000X) in California.
Michael Sam Jennis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Michael Sam Jennis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Michael Sam Jennis |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Michael Sam Jennis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 275 W Macarthur
Oakland, CA, 94611-5641
United States |
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| Phone Number : | 510-752-1000 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568540367 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Nov, 2006 |
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| Last Updated On : | 14 Nov, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Sam Jennis are as mentioned. Primary taxonomy code for Michael Sam Jennis, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G47237 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Michael Sam Jennis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G472370 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 275 W Macarthur
Oakland, CA, 94611-5641
United States |
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| Phone Number : | 510-752-1000 |
|---|
Business Location:
Patients can refer following map for directions to
Michael Sam Jennis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.