Jennifer A Nossokoff, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20952 Issued in CA

Practice address

55 Hawthorne St
Suite 520
San Francisco, CA 94105-3906

Phone

(415) 371-8600

NPI assigned

Sep 8, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Jennifer A Stockham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1205143591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HAWTHORNE ST",
            "address_2": "SUITE 520",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053906",
            "telephone_number": "415-371-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HAWTHORNE ST",
            "address_2": "SUITE 520",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053906",
            "telephone_number": "415-371-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSSOKOFF",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851617278",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STOCKHAM",
            "middle_name": "A",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Redge W Norton, LCSW
• Katherine Noryko, MA
• Leah Noson, AG-ACNP
• Irina Nosova, P.T.
• Adi Nosrati, M.D
• Manisha Notay
• Rachel Noto
• Gregory Bernard Nottage
• Romie Jane Nottage, LMFT
• Meaghan Noud, M.D.

• Physician Assistant in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.