DR. JILL ELIZABETH EDISON MD
NPI 1225039514
Internal Medicine - Nephrology in Santa Rosa, CA

Q: What is Jill Edison's NPI number?

The NPI number for Jill Edison is 1225039514. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Q: What is Jill Edison's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Jill Edison was last updated on December 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2005

435 DOYLE PARK DR, SANTA ROSA, CA 95405(707) 527-9510(707) 527-1306 Get Directions Write a Review

NPPES record last updated: December 6, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Jill Elizabeth Edison Md NPPES

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

DR. JILL ELIZABETH EDISON MD (NPI 1225039514) is an individual nephrology provider in Santa Rosa, California, licensed in California (G81587) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1225039514

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameDR. JILL ELIZABETH EDISONCredential: MD

Location Address435 DOYLE PARK DRSanta Rosa, CA 95405-4515

Mailing Address435 Doyle Park DrSanta Rosa, CA 95405-4515 · (707) 527-9510 · Fax (707) 527-1306

Phone(707) 527-9510

Fax(707) 527-1306

Sole ProprietorNo

Enumeration DateAugust 9, 2005

Last NPPES UpdateDecember 6, 2010

✔ NPI 1225039514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in CA · G81587

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

435 DOYLE PARK DR, Santa Rosa, CA 95405

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Other Identifiers 3

Medicare ID-Type Unspecified00G815870CA

Medicaid00G815870CA

Medicare UPING82272

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARL WILSON MD

Internal Medicine (Nephrology)