MEDICARE: JASON AURIEMMA M.D.

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
1	207Q00000X	Family Medicine Physician	A76677	CA

General Provider Information

NPI Number	:	1922187574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON AURIEMMA M.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 1260
Second Line	:
City	:	DAVIS
State	:	CA
Zip	:	95616
Country	:	US
Telephone Number	:	530-758-1510
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 W BEAMER ST
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95695-2510
Country	:	US
Telephone Number	:	530-405-2800
Fax Number	:	530-204-5295

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	04/21/2025

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