Individual provider Active NPI

Jennifer Amponsah Dion-Gokan, FNP

  • Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1831634708
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95005876 Issued in CA
Practice address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone
(925) 430-5335
NPI assigned
Dec 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95005876 CA
Nurse Practitioner 363L00000X NP95005876 CA Primary
Registered Nurse 163W00000X RN9503240 CA

Addresses

Primary practice location

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

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
I20170422000225 CA Practitioner - Nurse Practitioner 5991081291 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9503240CAMDRegistered Nurse
NP95005876CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Sep 1, 2023 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Feb 18, 2019 Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Sep 1, 2023 Accepting new patients
American Current Care of California, a Medical Corporation Current Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Feb 18, 2019 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617

3140 Balfour Rd
Ste C
Brentwood, CA 94513
Phone (925) 626-3801

2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400

1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711

1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234

640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553

740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000

988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868

1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202

21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • Direct secure messaging: jdiongokan130101@ehr.johnmuirhealth.com

Organizations & group practices 7

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": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1831634708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-430-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DION-GOKAN",
        "first_name": "JENNIFER",
        "middle_name": "AMPONSAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95005876",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95005876",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN9503240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.