Individual provider Active NPI

Juliet Alexa Liberty Jenkins, MB CHB

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • San Francisco, CA
National Provider Identifier
1407300940
Registry record updated Aug 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
License
144437 Issued in CA
Practice address
2324 Sacramento St Ste 150
San Francisco, CA 94115-2383
Phone
(415) 673-5184
NPI assigned
Aug 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 144437 CA Primary

Addresses

Primary practice location

2324 Sacramento St Ste 150
San Francisco, CA 94115-2383

Mailing address

435 Cola Ballena
Alameda, CA 94501-3608
Phone (510) 316-4031

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160920002158 CA Practitioner - Neurology 2062709942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York Medical College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

3838 California St
San Francisco, CA 94118-1506

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144437CAMDNeuromuscular Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 780-0110

2324 Sacramento St
Ste 150
San Francisco, CA 94115
Phone (415) 600-3604

1100 Van Ness Ave
Fl 6
San Francisco, CA 94109
Phone (415) 600-5760

2324 Sacramento St
Ste 111
San Francisco, CA 94115
Phone (415) 600-3604

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

Interoperability endpoints

  • Direct secure messaging: ljenkins175407@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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 3

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": "1471046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471046400000",
    "number": "1407300940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 COLA BALLENA",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013608",
            "telephone_number": "510-316-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 SACRAMENTO ST STE 150",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152383",
            "telephone_number": "415-673-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JULIET",
        "middle_name": "ALEXA LIBERTY",
        "name_prefix": "Dr.",
        "credential": "MB CHB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-13",
        "last_updated": "2016-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "CA",
            "license": "144437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.