Individual provider Active NPI

Breanna Yvonne Jedrzejewski, M.D., M.P.H.

  • Plastic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1912439134
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A183561 Issued in CA
Practice address
2299 Post St Ste 207
San Francisco, CA 94115-3473
Phone
(415) 530-5335
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A183561 CA Primary

Addresses

Primary practice location

2299 Post St Ste 207
San Francisco, CA 94115-3473

Mailing address

2299 Post St Ste 207
San Francisco, CA 94115-3473
Phone (415) 530-5335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180409001457 OR Order and Referring Only - Plastic and Reconstructive SurgeryPractitioner - Plastic and Reconstructive Surgery 7810250610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A183561CAMDPlastic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: bjedrzejewski673198@hisp.ehr.sutterhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1912439134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 POST ST STE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153473",
            "telephone_number": "415-530-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 POST ST STE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153473",
            "telephone_number": "415-530-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDRZEJEWSKI",
        "first_name": "BREANNA",
        "middle_name": "YVONNE",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A183561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.