MEDICARE: JENNIFER LYNN CARLSON MD

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	208000000X	Pediatrics Physician	A82698	CA
2	2080A0000X	Pediatric Adolescent Medicine Physician	A82698	CA
3	2083C0008X	Clinical Informatics Physician	A82698	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134157431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYNN CARLSON MD

Provider Business Mailing Address
First Line	:	725 WELCH RD
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94304-1601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 CALIFORNIA DR
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-4145
Country	:	US
Telephone Number	:	415-353-2002
Fax Number	:

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	07/23/2025

Similar Medicare Providers

1699925198 — JOSH CHAN PHARM. D.
Practice Location Address:

225 CALIFORNIA DR RM 470
BURLINGAME, CA
94010-4145

Practice Phone: 415-819-9517
Practice Fax:

1194338962 — DR. JORDAN LABREC PT
Practice Location Address:

225 CALIFORNIA DR
BURLINGAME, CA
94010-4145

Practice Phone: 650-341-9131
Practice Fax:

1861208399 — UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Practice Location Address:

225 CALIFORNIA DRIVE
BURLINGAME, CA
94010-4145

Practice Phone: 415-353-1000
Practice Fax:

1811705031 — UCSF MEDICAL GROUP BUSINESS SERVICES
Practice Location Address:

225 CALIFORNIA DR
BURLINGAME, CA
94010-4145

Practice Phone: 650-341-9131
Practice Fax: 650-341-9135

1245124288 — MRS. BRIE KELLEY FOWLER FNP-C
Practice Location Address:

225 CALIFORNIA DR
BURLINGAME, CA
94010-4145

Practice Phone: 415-225-7656
Practice Fax:

1093657215 — KAWON LEE
Practice Location Address:

1720 EL CAMINO REAL STE 7
BURLINGAME, CA
94010-3226

Practice Phone: 650-239-9322
Practice Fax:

Directions to “ JENNIFER LYNN CARLSON MD” 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 © 2007-2026 (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.