| Kendra L Jacobson, PA-C | |
|
2540 East St, Concord, CA 94520-1906 | |
| (925) 682-8200 | |
| Not Available |
| Full Name | Kendra L Jacobson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2540 East St, Concord, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982644167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA16398 (California) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Lifelong Medical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra L Jacobson, PA-C 2100 Powell Street, Suite 900, Emeryville, CA 94608-1803 Ph: (510) 350-2657 | Kendra L Jacobson, PA-C 2540 East St, Concord, CA 94520-1906 Ph: (925) 682-8200 |
Vivian Lo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2481 Pacheco St, Concord, CA 94520 Phone: 925-680-8933 |
Gregorio Barajas, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1001 Galaxy Way # 400, Concord, CA 94520 Phone: 925-225-5837 |
Joseph Kasali, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2485 High School Ave Ste 100, Concord, CA 94520 Phone: 925-692-5991 |
Karen Rice, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2185 Pacheco St, Concord, CA 94520 Phone: 925-887-5218 Fax: 925-676-2814 |
Claudia Avelar-rios, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2700 Grant St Ste 319, Concord, CA 94520 Phone: 925-674-2880 |
Cindy Bik Yu Mai, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2415 High School Ave Ste 800, Concord, CA 94520 Phone: 925-687-5210 |
Mr. Jared Ng, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2700 Grant St Ste 319, Concord, CA 94520 Phone: 925-674-2890 |