JENNIFER TRAM MD
NPI 1174273205
Student in an Organized Health Care Education/Training Program in Riverside, CA

Q: What is Jennifer Tram's NPI number?

The NPI number for Jennifer Tram is 1174273205. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Jennifer Tram's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Tram was last updated on March 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2022PECOS Enrolled

4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 788-3000 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer Tram Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER TRAM MD (NPI 1174273205) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174273205

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJENNIFER TRAMCredential: MD

Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135

Mailing Address4445 Magnolia AveRiverside, CA 92501-4135

Phone(951) 788-3000

Sole ProprietorYes

Enumeration DateMarch 23, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1174273205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4445 MAGNOLIA AVE, Riverside, CA 92501

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Tram Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.