Individual provider Active NPI

Jennifer Borden Dobbs, N.P.

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1306136262
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19217 Issued in CA
Practice address
535 Mission St Ste 100
San Francisco, CA 94105-3223
Phone
(415) 658-6791
Fax
(415) 520-0904
NPI assigned
Apr 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19217 CA Primary

Addresses

Primary practice location

535 Mission St Ste 100
San Francisco, CA 94105-3223

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other identifiers 4

IdentifierTypeStateIssuer
19217OtherCACALIFORNIA BOARD OF REGISTERED NURSING NURSE PRACTITIONER CERTIFICATE NUMBER
686248OtherCACALIFORNIA BOARD OF REGISTERED NURSING REGISTERED NURSE LICENSE NUMBER
MB2343692OtherUNITED STATES D.E.A. REGISTRATION NUMBER
19217OtherCALIFORNIA BOARD OF REGISTERED NURSING NURSE PRACTITIONER FURNISHING NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601000218 CA Order and Referring Only - Nurse Practitioner 9133419377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Seniors Group, Inc. PastSince Jun 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1306136262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MISSION ST STE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053223",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "JENNIFER",
        "middle_name": "BORDEN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "19217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING NURSE PRACTITIONER CERTIFICATE NUMBER",
            "identifier": "19217",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING REGISTERED NURSE LICENSE NUMBER",
            "identifier": "686248",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED STATES D.E.A. REGISTRATION NUMBER",
            "identifier": "MB2343692",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING NURSE PRACTITIONER FURNISHING NUMBER",
            "identifier": "19217",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.