Individual provider Active NPI

Jennifer Leigh

  • Medical Physician Assistant
  • Emeryville, CA
National Provider Identifier
1679907729
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2100 Powell Street Ste 900
Emeryville, CA 94608-1803
Phone
(510) 350-2673
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

2100 Powell Street Ste 900
Emeryville, CA 94608-1803

Mailing address

2100 Powell Street Ste 900
Emeryville, CA 94608-1803
Phone (510) 350-2673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131127000873 MD Practitioner - Physician Assistant 0244466035 Reassigns benefits to 2 organizations
I20140722000479 DC Practitioner - Physician Assistant 0244466035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

2114 Generals Hwy
Annapolis, MD 21401-7488
Phone (410) 224-6905

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603-4850
Phone (443) 584-5787

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

6334 Cedar LN
Columbia, MD 21044-3898
Phone (410) 531-2487

6500 Baltimore National Pike
Catonsville, MD 21228-4200
Phone (410) 807-8067

7698 Dorchester Blvd
Hanover, MD 21076-1946
Phone (443) 755-9253

8125 Ritchie Hwy
Suite H
Pasadena, MD 21122-6925
Phone (410) 544-2075

8605 Ridgelys Choice Dr
Nottingham, MD 21236-2953
Phone (410) 248-2310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Oct 11, 2017 Accepting new patients
MNR Industries, LLC CurrentSince May 29, 2017 Accepting new patients
Emergency Medicine Associates, PA CurrentSince May 15, 2014 Accepting new patients
MNR Industries, LLC CurrentSince May 29, 2017 Accepting new patients
Medstar Urgent Care LLC CurrentSince Mar 14, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 15, 2014 Accepting new patients
MNR Industries LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Mar 14, 2021 Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1679907729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL STREET STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081803",
            "telephone_number": "510-350-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 POWELL STREET STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081803",
            "telephone_number": "510-350-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGH",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.