JENNIFER KIM QUAN
NPI 1780183038
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since February 01, 2018Opted out of Medicare · through Jan 1, 2028
2828 FORD ST, OAKLAND, CA 94601(510) 227-9652 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Kim Quan NPPES

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

JENNIFER KIM QUAN (NPI 1780183038) is an individual student in an organized health care education/training program in Oakland, California, licensed in California (99091) and active in the NPI registry since February 2018. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in El Sobrante.

NPPES Registry Identity

NPI1780183038
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER KIM QUAN
Location Address2828 FORD STOakland, CA 94601-2114
Mailing Address2828 Ford StOakland, CA 94601-2114
Sole ProprietorNo
Enumeration DateFebruary 1, 2018
Last NPPES UpdateFebruary 11, 2020
NPI 1780183038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · 99091
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.
2828 FORD ST, Oakland, CA 94601

Secondary Practice Location 1

Location 14892 San Pablo Dam RdEl Sobrante, CA 94803-3222 · Phone (510) 222-3946

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jennifer Kim Quan has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Day Training/Habilitation Specialist
2828 FORD ST
OAKLAND, CA 94601
Day Training/Habilitation Specialist
2828 FORD ST
OAKLAND, CA 94601
Social Worker (Clinical)
2828 FORD ST
OAKLAND, CA 94601
Social Worker (Clinical)
2828 FORD ST
OAKLAND, CA 94601
Counselor
2828 FORD ST
OAKLAND, CA 94601
Marriage & Family Therapist
2828 FORD ST
OAKLAND, CA 94601
Day Training/Habilitation Specialist
2828 FORD ST
OAKLAND, CA 94601
Day Training/Habilitation Specialist
2828 FORD ST
OAKLAND, CA 94601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Quan's NPI number?

The NPI number for Jennifer Quan is 1780183038. It was assigned to this individual provider in the NPPES registry on February 1, 2018.

Where is Jennifer Quan located?

Jennifer Quan practices at 2828 Ford St, Oakland, CA 94601. The listed phone number is (510) 227-9652.

What is Jennifer Quan's specialty?

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

Is Jennifer Quan enrolled in Medicare?

No. Jennifer Quan has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Quan was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.