Active NPI
Jennifer Lynn Landers Gullo, MD
- Emergency Medicine Physician
- Emeryville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A121026
- Practice address
- 2100 Powell St Ste 920
Emeryville, CA 94608-1844 - Phone
- (510) 350-2777
- NPI assigned
- Apr 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 0101249218 | VA | |
| Emergency Medicine Physician | 207P00000X | A121026 | CA | Primary |
Addresses
Primary practice location
2100 Powell St Ste 920
Emeryville, CA 94608-1844
Mailing address
2100 Powell St Ste 920
Emeryville, CA 94608-1844
Phone (510) 350-2777
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wake Forest University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - California
Practice addresses (Care Compare)
1650 Creekside Dr
Folsom, CA 95630-3400
Phone (916) 983-7400
Hospital & facility affiliations
- Mercy Hospital of Folsom
- Sutter Roseville Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121026 | CA | MD | Marriage & Family Therapist |
| 0101249218 | VA | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physician Partners of El Dorado County, Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Emergency Medicine Physician
- Placerville, CA
- NPI 1619278660
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Emergency Medicine
-
- Emergency Medicine Physician
- Santa Monica, CA
- NPI 1063081545
-
- Emergency Medicine Physician
- Los Banos, CA
- NPI 1699073700
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Internal Medicine Physician
- Vallejo, CA
- NPI 1336222397
Emergency Medicine
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Folsom, CA
- NPI 1356389878
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1306080841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 920",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081844",
"telephone_number": "510-350-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 920",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081844",
"telephone_number": "510-350-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLO",
"first_name": "JENNIFER",
"middle_name": "LYNN LANDERS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-28",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "VA",
"license": "0101249218",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A121026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.