Look up the most recent NPI and PECOS records

Jerin Tresa Jose

Pediatrics

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as JERIN JOSE.

Based on the most recent information from CMS, provider Jerin Tresa Jose is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1205367778
Provider Type
Individual
Full Name
Jose, Jerin Tresa
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/25/2017
Last Updated
8/13/2020

Contact Information

Practice Location

725 Welch Rd, Palo Alto, CA 94304-1601

(650) 497-8000

Unlisted Fax

Mailing Location

757 Westwood Plz, Box 951752, 3108 Rrumc, Los Angeles, CA 90095-1752

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A160311 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Jerin Tresa Jose

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

Description

License

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