Jennifer M Wurz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21866 Issued in CA

Practice address

13855 E 14TH St
San Leandro Hospital Ed
San Leandro, CA 94578-2611

Phone

(585) 259-1052

NPI assigned

Sep 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• One Medical Group, Inc.

  dba One Medical Group

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1467781641
  Medicare reassignment NPD
• One Medical Group, Inc

  • Family Medicine Physician
  • Tigard, OR
  • NPI 1891521134
  NPD

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1518291640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 QUAILBUSH DR",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508936",
            "telephone_number": "585-259-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13855 E 14TH ST",
            "address_2": "SAN LEANDRO HOSPITAL ED",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782611",
            "telephone_number": "585-259-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURZ",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013474",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert K Wu, M. D.
• Xiaoyi Wu
• Xudong Wu
• Justice Wurnitsch-Hogan
• Lauren Wurst
• Rong Wuu, L.AC
• Jim Xia, ACUPUNCTURIST
• Taoyuan Xie
• Ying Juan Xie
• Zepei Xie, PT, DPT

• Physician Assistant in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.