Jeana Theresa Da Re, PHD, FACMG

Primary specialty

Clinical Molecular Genetics PhysicianTaxonomy code 207SG0203X

License

DRN-02251895 Issued in CA

Practice address

1400 16TH St
San Francisco, CA 94103-5110

Phone

(716) 984-9308

NPI assigned

Jul 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1962231084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHISHOLM TRL",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271679",
            "telephone_number": "716-984-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 16TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035110",
            "telephone_number": "716-984-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA RE",
        "first_name": "JEANA",
        "middle_name": "THERESA",
        "credential": "PHD, FACMG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "CA",
            "license": "DRN-02251895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Anthony D'Elena, DPT
• Heather Teresa D'Eliso Gordon, R.D.
• Trevor D'Sa
• Indira Ann D'Souza, MPH
• Jessica Andrea Da Mota, MD
• Joana Maria Da Rosa, D.C., D.A.B.C.O.
• Stephanie Da Silva Santos
• Kathleen Da Silva, R.D.
• Stephen Preble Daane, MD
• Susan Berkowitz Dab, M.D.

• Clinical Molecular Genetics Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Molecular Genetics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.