| Jennifer Solomon Mattox, NP | |
|
97 San Marin Dr, Novato, CA 94945-1100 | |
| (415) 899-7525 | |
| (415) 899-7623 |
| Full Name | Jennifer Solomon Mattox |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 97 San Marin Dr, Novato, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174634356 | NPI | - | NPPES |
| RN514466 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | RN- 514466, NP- 9992 (California) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Solomon Mattox, NP Kaiser Permanente Novato Medical Offices, 97 San Marin Dr., Novato, CA 94945 Ph: (415) 899-7525 | Jennifer Solomon Mattox, NP 97 San Marin Dr, Novato, CA 94945-1100 Ph: (415) 899-7525 |
Ms. Kelli Elizabeth Rugani, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 790 Tamalpais Ave, Novato, CA 94947 Phone: 415-250-6809 | |
Barbara Doran, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 97 San Marin Dr, Novato, CA 94945 Phone: 415-899-7411 | |
Valerie C Ridgeway, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 Rowland Way, Suite 311, Novato, CA 94945 Phone: 415-897-9664 Fax: 415-897-2446 | |
Dina Khait Maldonado, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6100 Redwood Blvd, Novato, CA 94945 Phone: 415-448-1500 | |
Jennifer Shaw-chin Liu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 Rowland Way, Suite 215, Novato, CA 94945 Phone: 415-897-5171 Fax: 415-892-1611 | |
Arielle L Greenlee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Commercial Blvd Ste 200, Novato, CA 94949 Phone: 415-680-5328 |