MEDICARE: MRS. JAYANTHI J. LINERT PA

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	363A00000X	Physician Assistant	15298	CA

General Provider Information

NPI Number	:	1154487569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAYANTHI J. LINERT PA

Provider Business Mailing Address
First Line	:	1165 ALICANTE DR
Second Line	:
City	:	PACIFICA
State	:	CA
Zip	:	94044-4303
Country	:	US
Telephone Number	:	650-359-7311
Fax Number	:

Provider Business Practice Location Address
First Line	:	7248 S LAND PARK DR # 2065
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-3660
Country	:	US
Telephone Number	:	916-392-4000
Fax Number	:

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

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	07/08/2007

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