Individual provider Active NPI

Jennifer Janelle Patterson, NP

  • Family Nurse Practitioner
  • Hayward, CA
National Provider Identifier
1629807201
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030838 Issued in CA
Practice address
27206 Calaroga Ave
Hayward, CA 94545-4354
Phone
(510) 670-1111
NPI assigned
Jul 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030838 CA Primary

Addresses

Primary practice location

27206 Calaroga Ave
Hayward, CA 94545-4354

Mailing address

27206 Calaroga Ave Ste 205
Hayward, CA 94545-4300
Phone (510) 670-1111

Other names 1

  • Jennifer Janelle Jacobson Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227002264 CA Order and Referring Only - Nurse Practitioner 4183151491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1629807201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27206 CALAROGA AVE STE 205",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454300",
            "telephone_number": "510-670-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27206 CALAROGA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454354",
            "telephone_number": "510-670-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JENNIFER",
        "middle_name": "JANELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JACOBSON",
            "middle_name": "JANELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.