Jesse Abshire, M.D., M.S.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

155 Alexander Ave
Susanville, CA 96130-4505

Phone

(650) 296-9969

NPI assigned

Dec 17, 2015

Last updated

Dec 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Master of Science

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1629433651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ALEXANDER AVE",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304505",
            "telephone_number": "650-296-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ALEXANDER AVE",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304505",
            "telephone_number": "650-296-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABSHIRE",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A&a Premier Nursing Solutions, Inc
• Tigran Alexanian, PSY.D.
• Angela Alfaro
• Cristina R Alkire, ACSW 117512
• Elizabeth R Allen
• John A. Anderson, FNP

• Clinical Social Worker in Susanville, CA
• Providers in Susanville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.