Dr. Jennifer A Linehan
Urology

Address: 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303
Phone: 3105827137

Dr. Jennifer A Linehan (NPI# 1881891042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1881891042
Entity Type Individual
Full Name Dr. Jennifer A Linehan
Credential M.D.
Gender Female
Practice Address 2121 Santa Monica Blvd
Santa Monica
CA 90404-2303
Practice Telephone 3105827137
Practice Fax Number 3105827140
Mailing Address Po Box 5063
Monrovia
CA 91017-7163
Mailing Telephone 6267753200
Mailing Fax Number 6264083911
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-06-29
Last Update Date 2019-01-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 208800000X Urology Allopathic & Osteopathic Physicians 68613 AZ
Yes 208800000X Urology Allopathic & Osteopathic Physicians A111812 CA

Other Providers JENNIFER LINEHAN

NPI Name Taxonomy Address Enumeration
1679832760 Jennifer Andrea Linehan Marriage & Family Therapist 1550 Treat Ave, San Francisco, CA 94110-5234 2012-05-09
1467547414 Jennifer Linehan Nurse Practitioner 3620 N 3rd St, Phoenix, AZ 85012-2020 2006-10-04

Physician Overview

NPI 1881891042
PAC ID by PECOS 8325231574
Professional Enrollment ID I20101020000167
Full Name Jennifer A Linehan
Organization Legal Name PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
Phone Number 3108295511
Gender F
Medical School UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year 2004
Primary Specialty UROLOGY
Group Practice PAC ID 0840548624
Number of Group Practice Members 141
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050290 PROVIDENCE SAINT JOHN'S HEALTH CENTER

Office Location

Street Address 2121 SANTA MONICA BLVD
City SANTA MONICA
State CA
Zip Code 90404-2303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528062023 Lisa Martine Chaiken Radiology 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2005-06-13
1093290413 Lucia Nicole Dobrawa Internal Medicine 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2018-10-02
1932688074 Lamia Adelby Nurse Practitioner 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2018-08-09
1477047017 Emily Rachel Fitleberg Student in an Organized Health Care Education/Training Program 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2018-06-18
1659865384 Faryal Khan Kharal Student in an Organized Health Care Education/Training Program 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2018-06-16
1952815714 Frania Julianne Ciszewski Nurse Practitioner 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2017-11-30
1770093734 Providence Saint Johns Medical Foundation Family Medicine 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2017-10-04
1225557903 Fang Jiang Physician Assistant 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2017-09-14
1710405097 Renee Ovando Nurse Practitioner 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2017-09-06
1275059131 Ana Maricela Rocha Nurse Practitioner 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2017-08-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841763687 Crystal Monique Mckinley X Counselor 1865 9th St, Santa Monica, CA 90404 2019-01-04
1952872749 Cesar O Munoz Counselor 1865 9th St., Santa Monica, CA 90404 2018-12-06
1023596574 Joseph J Pinzone Md Inc Internal Medicine 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 2018-08-06
1548763535 Alan Rubenstein Dds Inc Dentist 1260 15th St., #703, Santa Monica, CA 90404 2018-03-15
1932623246 Giselle Tamula Nurse Practitioner 2200 Santa Monica Blvd., Suite 112, Santa Monica, CA 90404 2017-07-28
1669993382 Aaron Wilson Counselor 1453 16th Street, Santa Monica, CA 90404 2017-07-03
1922472471 Chianni Lin Acupuncturist 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 2015-11-20
1467823278 Alexandra Daniela Arroyo Behavior Analyst 1838 22nd St Apt 2, Santa Monica, CA 90404 2015-10-20
1720498504 Alan Jeff Baldrias Nurse Practitioner 3300 East South St. # 203, Long Beach, CA 90404 2014-05-02
1598185647 Matthew Mcadams Student in an Organized Health Care Education/Training Program 1453 16th St., Santa Monica, CA 90404 2014-04-16
Find all providers in zip 90404

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336181965 Karyn S Eilber Urology 2020 Santa Monica Blvd., Suite 570, Santa Monica, CA 90404 2006-06-11
1740628866 Stanley Brosman Medical Corporation Urology 2021 Santa Monica Blvd, Suite 510, Santa Monica, CA 90404-2219 2013-06-11
1447503826 Gregory Scott Jack Urology 1260 15th St, 1200, Santa Monica, CA 90404-1135 2012-10-22
1215296348 Ramkishen Narayanan Urology 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2012-05-09
1619248184 Stacey C Carter Urology 1260 15th St, Suite 1200, Santa Monica, CA 90404-1135 2012-01-15
1154518629 Mehran Movassaghi Urology 2001 Santa Monica Blvd Ste 680w, Santa Monica, CA 90404-2111 2007-09-28
1770773269 Dino T. Deconcini Md Inc Urology 2021 Santa Monica Blvd, 510 E, Santa Monica, CA 90404-2160 2007-07-31
1295881803 Jesse N Mills Urology 1260 15th St, Suite 1200, Santa Monica, CA 90404-1135 2007-01-26
1053473355 Peter M Loisides Md, Inc Urology 2001 Santa Monica Blvd, Suite 590w, Santa Monica, CA 90404-2102 2006-12-14
1598827826 Mark J Kelly Md, Inc Urology 2001 Santa Monica Blvd, Suite 590w, Santa Monica, CA 90404-2102 2006-12-14
Find all providers in SANTA MONICA

Competitor

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City SANTA MONICA
Zip Code 90404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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