Jennifer Jane Abraham, MD
Individual provider Active NPI Internal Medicine Physician · Bakersfield, CA
NPI 1285650259 · NPPES record last updated Jan 15, 2013
Key facts
- NPI
- 1285650259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- G63721 (CA)
- Practice address
- 3838 San Dimas St Ste A100
Bakersfield, CA 93301-2286 - Phone
- (661) 324-4963
- Fax
- (661) 327-5432
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081029000012 | CA | Practitioner - Internal Medicine | 9739152489 | Practice locations: Bakersfield, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63721 | CA | MD | General Practice Dentistry |
| G63721 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gem Physicians Medical Group Inc | Past | Accepting new patients | |
| Kern Faculty Medical Group | Internal Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G63721 | CA | Yes |
Addresses
Primary practice location
3838 San Dimas St Ste A100
Bakersfield, CA 93301-2286
Mailing address
PO Box 2507
Bakersfield, CA 93303-2507
Phone (661) 335-7755
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G637210 | Medicaid | CA |
Other providers in Bakersfield, CA
- Christy Abney
- Jensen Elise Abney
- Ayham Aboeed
- Feda Aboumeri
- Ernesto Aboytes
- Cynthia Abramian
- Imad Abumeri
- Abundant Horizons Family Therapists, a Professional Corporation
- Abundant Wellness and Medical Center Inc
- Amanda Eden Abundis
All providers in Bakersfield, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.