Jeremy Joseph Ahearn
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Elk Grove, CA
NPI 1336870542 · NPPES record last updated Jun 19, 2022
Key facts
- NPI
- 1336870542
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 9700 W Taron Dr
Elk Grove, CA 95757-8145 - Phone
- (916) 686-7300
- NPI assigned
- Jun 19, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
9700 W Taron Dr
Elk Grove, CA 95757-8145
Mailing address
822 The Dalles Ave
Sunnyvale, CA 94087-4149
Phone (408) 245-2558
Other providers in Elk Grove, CA
- Adriana Aguilar
- Marili Aguilar
- Gerardo Aguilera Perez Jr.
- Ahc of Elk Grove, LLC
- Ahcck LLC
- Annum Naseer Ahmad
- Hela Ahmad
- Parwez Ahmad
- Nilofar Ahmadi
- Sadaf Ahmadi
All providers in Elk Grove, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.