DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JAMIE PENTICOFF GONZALEZ ASW

MEDICARE: JAMIE PENTICOFF GONZALEZ ASW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker120975CA

General Provider Information

NPI Number : 1336919752
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE PENTICOFF GONZALEZ ASW
Provider Business Mailing Address
First Line : 7200 BANCROFT AVE STE 267
Second Line :
City : OAKLAND
State : CA
Zip : 94605-2408
Country : US
Telephone Number : 510-923-1099
Fax Number :
Provider Business Practice Location Address
First Line : 7200 BANCROFT AVE STE 267
Second Line :
City : OAKLAND
State : CA
Zip : 94605-2408
Country : US
Telephone Number : 510-923-1099
Fax Number : 510-923-1099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2024
Last Update Date : 12/10/2025

Similar Medicare Providers

1215761887 — GRACE STEPHENSON AMFT
Practice Location Address:
7200 BANCROFT AVE STE 267
OAKLAND, CA
94605-2408
Practice Phone: 510-735-0864
Practice Fax: 510-548-2938
1649134065 — ERIC ADAMS
Practice Location Address:
7200 BANCROFT AVE STE 267
OAKLAND, CA
94605-2408
Practice Phone: 510-735-0864
Practice Fax: 510-746-1196
1326176454 — KATRINA DYSTANY VILLEGAS
Practice Location Address:
7200 BANCROFT AVE STE 267
OAKLAND, CA
94605-2408
Practice Phone: 510-735-0864
Practice Fax:
1417138074 — MS. JUDY ANN THOMPSON M.S.
Practice Location Address:
7200 BANCROFT AVE STE 267
OAKLAND, CA
94605-2408
Practice Phone: 510-899-7445
Practice Fax:
1851717318 — CLONGE WAYNE RAFUS
Practice Location Address:
7200 BANCROFT AVE STE 267
OAKLAND, CA
94605-2408
Practice Phone: 510-735-0864
Practice Fax: 510-647-9408
1205320249 — JESSICA DEAN
Practice Location Address:
7200 BANCROFT AVE STE 267
OAKLAND, CA
94605-2408
Practice Phone: 510-944-2954
Practice Fax:

Directions to “ JAMIE PENTICOFF GONZALEZ ASW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.