Individual provider Active NPI

Jennifer P Strauser, DPM

  • Podiatrist
  • Alameda, CA
National Provider Identifier
1891878302
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
U71462 Issued in NE
Practice address
2059 Clinton Ave
Ste 1
Alameda, CA 94501-4379
Phone
(510) 521-2568
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X U71462 NE Primary

Addresses

Primary practice location

2059 Clinton Ave
Ste 1
Alameda, CA 94501-4379

Mailing address

2059 Clinton Ave
Ste 1
Alameda, CA 94501-4379
Phone (510) 521-2568

Other identifiers 1

IdentifierTypeStateIssuer
80000309907MedicaidNE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170907001889 CA Practitioner - Podiatry 0345399432 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
U71462NEMDPodiatrist
283NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Medical Group, Inc. Past Accepting new patients
Sutter East Bay Medical Foundation Podiatrist PastSince Aug 21, 2017 Accepting new patients

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1891878302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 CLINTON AVE",
            "address_2": "STE 1",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014379",
            "telephone_number": "510-521-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 CLINTON AVE",
            "address_2": "STE 1",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014379",
            "telephone_number": "510-521-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUSER",
        "first_name": "JENNIFER",
        "middle_name": "P",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "U71462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80000309907",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.