NPIMap

Individual provider Active NPI

Jennifer J Choate, MD

  • Hematology & Oncology Physician
  • Soquel, CA
National Provider Identifier
1326073354
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G59117 Issued in CA
Practice address
3035 N Main St
Soquel, CA 95073-2204
Phone
(831) 462-8755
Fax
(831) 475-5713
NPI assigned
Jul 11, 2006
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G59117 CA Primary

Addresses

Primary practice location

3035 N Main St
Soquel, CA 95073-2204

Mailing address

3035 N Main St
Soquel, CA 95073-2204
Phone (831) 462-8755

Other practice location 1

1779 Dominican Way Ste B
Santa Cruz, CA 95065-1526
Phone (831) 427-7110

Other names 1

  • Jennifer J Wood Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070402000641 CA Practitioner - Medical OncologyPractitioner - Hematology/OncologyPractitioner - Internal Medicine 8729182688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
State University of New York Downstate Medical Center, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

2710 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 267-2060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G59117CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ukiah Adventist Hospital CurrentSince May 1, 2015 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Jan 4, 2016 Accepting new patients
Ukiah Adventist Hospital CurrentSince May 1, 2015 Accepting new patients
Providence Medical Foundation CurrentSince Jan 4, 2016 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Watsonville Hospital Corporation Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

2710 Dolbeer St
Eureka, CA 95501
Phone (707) 267-2060

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

260 Hospital Dr
Ste 207
Ukiah, CA 95482
Phone (707) 463-7627

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1326073354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 N MAIN ST",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732204",
            "telephone_number": "831-462-8755",
            "fax_number": "831-475-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 N MAIN ST",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732204",
            "telephone_number": "831-462-8755",
            "fax_number": "831-475-5713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1779 Dominican Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651526",
            "country_code": "US",
            "telephone_number": "831-427-7110",
            "fax_number": "861-462-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOATE",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G59117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WOOD",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Soquel, CA

Sources for this page

Verify at the official NPI Registry.