Carol J Jessop, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G44754 Issued in CA

Practice address

5349 College Ave
Oakland, CA 94618-1416

Phone

(510) 547-5111

Fax

(510) 527-2262

NPI assigned

Apr 27, 2006

Last updated

Jul 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Solano Diagnostics Partners a Calif Limited Partnership

  dba Solano Diagnostics Imaging

  • Diagnostic Radiology Physician
  • Fairfield, CA
  • NPI 1811940661
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1336106848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181416",
            "telephone_number": "510-547-5111",
            "fax_number": "510-527-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5349 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181416",
            "telephone_number": "510-547-5111",
            "fax_number": "510-527-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSOP",
        "first_name": "CAROL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G44754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G447540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "G44754",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessamyn Meyerhoff
• Ariella Jessel
• Lorraine Jessel
• Jessica Franco Chiropractic Corporation (Back In Balance)
• Carmelita Jessie, HOME HEALTH AIDE
• Harriet Lynette Jeter
• Janada Nykia Jeter
• Mary Jeter
• Isha Shastri Jethi, LCSW
• Janet Raye Jett

• Internal Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.