Jennifer Abrams, M.D.
Individual provider Active NPI Internal Medicine Physician · Woodside, CA
NPI 1750672010 · NPPES record last updated May 15, 2018
Key facts
- NPI
- 1750672010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A122172 (CA)
- Practice address
- 2979 Woodside Rd
The Village Doctor
Woodside, CA 94062 - Phone
- (650) 851-4747
- Fax
- (650) 851-4343
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Stanford University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Village Doctor
Practice addresses (Care Compare)
2979 Woodside Rd
Woodside, CA 94062-2443
Phone (650) 331-0058
Hospital & facility affiliations
- Stanford Health Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170127002264 | CA | Practitioner - Internal Medicine | 3678897634 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122172 | CA | MD | Social Worker |
| A122172 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Past |
Accepting new patients |
Interoperability endpoints
- jennifer.abrams@6298537164804.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A122172 | CA | Yes |
Addresses
Primary practice location
2979 Woodside Rd
The Village Doctor
Woodside, CA 94062
Mailing address
2979 Woodside Rd
The Village Doctor
Woodside, CA 94062-2443
Phone (650) 851-4747
Other names
- Jennifer Miller
Other providers in Woodside, CA
All providers in Woodside, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.