MEDICARE: JODI LYNN ADAMS 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	207P00000X	Emergency Medicine Physician	A75474	CA

General Provider Information

NPI Number	:	1962511766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODI LYNN ADAMS M.D.

Provider Business Mailing Address
First Line	:	1516 STILLWELL RD APT H
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94129-1054
Country	:	US
Telephone Number	:	209-613-6444
Fax Number	:

Provider Business Practice Location Address
First Line	:	335 S MCDOWELL BLVD
Second Line	:
City	:	PETALUMA
State	:	CA
Zip	:	94954-3507
Country	:	US
Telephone Number	:	707-293-1110
Fax Number	:

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	07/31/2025

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