Maridez Brinas Jenkins, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22738 Issued in CA

Practice address

675 Ygnacio Valley Rd
Walnut Creek, CA 94596-3860

Phone

(650) 692-9751

Fax

(650) 697-0729

NPI assigned

Feb 28, 2013

Last updated

Feb 12, 2021By 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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mjenkins143443@ehr.johnmuirhealth.com

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

• East Bay Neurology, Inc.

  • Neurology Physician
  • Walnut Creek, CA
  • NPI 1164928537
  Medicare reassignment NPD
• California Pacific Medical Group, Inc.

  dba Brown & Toland Medical Group

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1245570266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 SANTA LUCIA DR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945657615",
            "telephone_number": "650-270-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963860",
            "telephone_number": "650-692-9751",
            "fax_number": "650-697-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MARIDEZ",
        "middle_name": "BRINAS",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Jeha, NURSE PRACTITIONER
• Susan D Jeiven, M.D.
• Aline T. Jelalian, MD
• Ariel-Alexis Alana Jenkins
• Jassiem Jenkins
• Philip N. Jenkins, MD
• Sheila Dianne Jenkins
• Sandra Jennings
• Anna Franchesca Rosello Jensen, FNP
• Christopher Jensen, PH.D.

• Family Nurse Practitioner in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.