Jennie Bravo Schulman, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18175 Issued in CA

Practice address

39500 Liberty St
Tri City Health Center
Fremont, CA 94538

Phone

(510) 770-8133

Fax

(510) 770-8140

NPI assigned

Jun 19, 2006

Last updated

Jun 15, 2011By the provider in NPPES

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 names 1

• Jennie Bravo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1235174665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FLEETWOOD DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94402",
            "telephone_number": "303-882-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 LIBERTY ST",
            "address_2": "TRI CITY HEALTH CENTER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-770-8133",
            "fax_number": "510-770-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULMAN",
        "first_name": "JENNIE",
        "middle_name": "BRAVO",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "BRAVO",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha Schmidt, PHARMD
• Coleton Schmitto, FNP-C
• Schreiner Chiropractic (Tri Cities Chiropractic)
• Marilee A Schuchard, M.D.
• Erik James Schuenke, DPT
• Brian Schulz
• Cameron Schulz
• Schuman-Liles Clinic, Inc
• Joseph Schwartz, M.D.
• Scott Schwartz, PHD

• Physician Assistant in Fremont, CA
• Providers in Fremont, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.