Individual provider Active NPI

Jeremy Stewart Palmer, PA-C

  • Physician Assistant
  • Oakland, CA
National Provider Identifier
1700114246
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52390 Issued in CA
Practice address
3850 Grand Ave
Oakland, CA 94610-1004
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Nov 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 60122767 WA
Physician Assistant 363A00000X 52390 CA Primary

Addresses

Primary practice location

3850 Grand Ave
Oakland, CA 94610-1004

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

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
I20220908003401 CA Practitioner - Physician Assistant 8820127863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

559 Clay St
Suite 200
San Francisco, CA 94111-3029
Phone (888) 663-6331

750 Redwood Hwy Frontage Rd
Suite 1210
Mill Valley, CA 94941-2483
Phone (888) 663-6331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52390CAMDPhysician Assistant
PA 60122767WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc CurrentSince Oct 3, 2022 Accepting new patients
One Medical Group, Inc. CurrentSince Oct 3, 2022 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

3850 Grand Ave
Oakland, CA 94610
Phone (510) 225-1013

110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 392-8200

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

2 Embarcadero Ctr
San Francisco, CA 94111
Phone (415) 398-4400

Organizations & group practices 3

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": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1700114246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101004",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JEREMY",
        "middle_name": "STEWART",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-20",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA 60122767",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.