Jennifer Agard, M.D.

Individual provider Active NPI Reproductive Endocrinology Physician · Greenbrae, CA

NPI 1003044553 · NPPES record last updated Nov 30, 2018

Key facts

NPI
1003044553
Entity type
Individual (NPI type 1)
Primary specialty
Reproductive Endocrinology Physician 207VE0102X
License
A120179 (CA)
Practice address
1100 S Eliseo Dr Ste 107
Greenbrae, CA 94904-2017
Phone
(415) 925-9404
Fax
(415) 484-7045
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A120179CAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Fertility Center Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X A120179 CA Yes

Addresses

Primary practice location

1100 S Eliseo Dr Ste 107
Greenbrae, CA 94904-2017

Mailing address

1100 S Eliseo Dr Ste 107
Greenbrae, CA 94904-2017
Phone (415) 925-9404

Other providers in Greenbrae, CA

All providers in Greenbrae, CA · Reproductive Endocrinology Physician in California

Sources for this page

Verify at the official NPI Registry.