| Jenna Essakow, MD | |
|
101 The City Dr S, Orange, CA 92868-3201 | |
| (714) 456-8888 | |
| Not Available |
| Full Name | Jenna Essakow |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 101 The City Dr S, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386188241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A158537 (California) | Primary |
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 67805 (Tennessee) | Secondary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Ucsf Pediatrics Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 |
| Entity Name | University Of California San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
| Entity Name | Ucsf Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Essakow, MD 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () - | Jenna Essakow, MD 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-8888 |
Pei Lin Chang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-558-2462 | |
Antoine Soliman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-289-4511 Fax: 714-289-4788 | |
Dr. Jeffrey H Ho, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-289-4099 Fax: 714-289-4063 | |
Dr. Marita Fortades, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-532-8767 Fax: 714-289-4551 | |
Dr. Daina Dreimane, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 W La Veta Ave, Orange, CA 92868 Phone: 888-770-2462 Fax: 855-246-2329 | |
Dr. Sharief Khalil Taraman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 W La Veta Ave, Children's Hospital Of Orange County, Neurology, Orange, CA 92868 Phone: 714-509-7601 Fax: 855-246-2329 | |
Dr. Emily Kathleen Garavatti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 505 S Main St Ste 350, Orange, CA 92868 Phone: 714-509-7982 Fax: 855-246-2329 |