Jennifer L. Detisch Nurse Practitioner
4647 Zion Ave, San Diego, CA 92120-2507


Jennifer L. Detisch is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1730215534. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 1557543048. The primary specialty is NURSE PRACTITIONER. The organization is SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP. The address is 4647 Zion Ave, San Diego, CA 92120-2507. The zip code is 92120.


Jennifer L. Detisch · 4647 Zion Ave, San Diego, CA 92120-2507

Nation Provider ID 1730215534
PAC ID by PECOS 1557543048
Professional Enrollment ID I20110304000066
Last Name DETISCH
First Name JENNIFER
Middle Name L.
Gender F
Medical School Name UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year 2006
Primary Specialty NURSE PRACTITIONER
Primary Specialty SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Phone Number 6195285000
Group Practice PAC ID 6002729175
Number of Group Practice Members 7940
Address 4647 ZION AVE
SAN DIEGO, CA 921202507
Professional accepts Medicare Assignment Y

street_number: 4647
route: Zion Avenue (Zion Ave)
neighborhood, political: Grantville
locality, political: San Diego
admin_level_2, political: San Diego County
admin_level_1, political: California (CA)
country, political: United States (US)
postal_code: 92120
postal_code_suffix: 2507
types : street_address
latitude: 32.7914271
longitude: -117.0951397
latlng: (32.7914271, -117.0951397)


Southern California Permanente Medical Group · Medicare Physician

Name Address Specialty
Gabriela Dilauro 4647 Zion Ave, San Diego, CA 92120-2507 OBSTETRICS/GYNECOLOGY
Neelam Pathikonda 6041 Cadillac Ave, Los Angeles, CA 90034-1702 FAMILY PRACTICE
Julie Alexander 13652 Cantara St, Panorama City, CA 91402-5423 DIAGNOSTIC RADIOLOGY
Harneet Singh 10800 Magnolia Ave, Riverside, CA 92505-3043 INTERNAL MEDICINE
Edmund Burke 10800 Magnolia Ave, Riverside, CA 92505-3043 GENERAL SURGERY
Eric Ho 14371 Clark, Bellflower, CA 90706-2901 ANESTHESIOLOGY
Clare Mazdisnian 13652 Cantara St, Panorama City, CA 91402-5423 CERTIFIED REGISTERED NURSE ANESTHETIST
Javier Machuca 10800 Magnolia Ave, Riverside, CA 92505-3043 FAMILY PRACTICE
Juan Alvergue 4647 Zion Ave, San Diego, CA 92120-2507 INTERNAL MEDICINE
Esther Frances 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 NURSE PRACTITIONER
Ting Pan 5601 De Soto Ave, Woodland Hills, CA 91367-6798 INTERNAL MEDICINE
Lauren Krieger 13652 Cantara St, Panorama City, CA 91402-5423 ORTHOPEDIC SURGERY
Steven Russak 5601 De Soto Ave, Woodland Hills, CA 91367-6798 GERIATRIC MEDICINE
Alice Yau 25821 Vermont Ave, Harbor City, CA 90710-3518 OBSTETRICS/GYNECOLOGY
Matthew Johnson 9961 Sierra Ave, Fontana, CA 92335-6720 AUDIOLOGIST
Minal Jackson 4647 Zion Ave, San Diego, CA 92120-2507 DERMATOLOGY
David Silberstein 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 INTERNAL MEDICINE
Stanley Setiawan 9961 Sierra Ave, Fontana, CA 92335-6720 FAMILY PRACTICE
Andrea Censullo 13652 Cantara St, Panorama City, CA 91402-5423 INTERNAL MEDICINE
Joel Marutani 14371 Clark, Bellflower, CA 90706-2901 OPTOMETRY

Zip 92120 · Nurse Practitioner · Medicare Physician

Name Address Specialty
Allison Waczek 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
John Adeiza 6655 Alvarado Rd, San Diego, CA 92120-5208 NURSE PRACTITIONER
Cristina Tobon-chung 6655 Alvarado Rd, San Diego, CA 92120-5208 NURSE PRACTITIONER
Mona Breid 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Lynn Hall 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Lisa Mager 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Marie Naughton 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Alicia Clarke 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Wendy Young 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Victoria Swartz 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Pamela Velardi 6153 Fairmount Ave, San Diego, CA 92120-3407 NURSE PRACTITIONER
Joyce Croke 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Patience Onyegbule 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Diane Lewis 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Steffanie Cobler 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Theodore Scott 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Faith Douglas 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Juana Mazaira 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Amy Bell 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER
Sarah Briere 4647 Zion Ave, San Diego, CA 92120-2507 NURSE PRACTITIONER

Zip 92120 · Medicare Physician

Name Address Specialty
Mary Violanti 4647 Zion Ave, San Diego, CA 92120-2507 AUDIOLOGIST
Gal Goldwaser 4647 Zion Ave, San Diego, CA 92120-2507 CLINICAL PSYCHOLOGIST
Samantha Lankford 4647 Zion Ave, San Diego, CA 92120-2507 CLINICAL SOCIAL WORKER
Kimberly Kamada 4647 Zion Ave, San Diego, CA 92120-2507 SPEECH LANGUAGE PATHOLOGIST
Michele Mccarter 6153 Fairmount Ave, San Diego, CA 92120-3407 CLINICAL PSYCHOLOGIST
Lisa Brown 4647 Zion Ave, San Diego, CA 92120-2507 OBSTETRICS/GYNECOLOGY
Daniel Mc Dermott 4647 Zion Ave, San Diego, CA 92120-2507 PODIATRY
Lois Musoke 4647 Zion Ave, San Diego, CA 92120-2507 OBSTETRICS/GYNECOLOGY
Eric Emont 4647 Zion Ave, San Diego, CA 92120-2507 GERIATRIC MEDICINE
Christopher Sadler 6386 Alvarado Ct, San Diego, CA 92120-4908 PHYSICIAN ASSISTANT
Steven Jaeger 4647 Zion Ave, San Diego, CA 92120-2507 FAMILY PRACTICE
Jamie Zampell 4647 Zion Ave, San Diego, CA 92120-2507 PLASTIC AND RECONSTRUCTIVE SURGERY
David Beverly 4647 Zion Ave, San Diego, CA 92120-2507 OPHTHALMOLOGY
Darlene Schaeffer 6475 Alvarado Rd, San Diego, CA 92120-5007 PHYSICAL THERAPY
Eli Ohayon 4647 Zion Ave, San Diego, CA 92120-2507 ANESTHESIOLOGY
Christian Kelly 4647 Zion Ave, San Diego, CA 92120-2507 EMERGENCY MEDICINE
Elise Brown 6719 Alvarado Rd, San Diego, CA 92120-5263 OBSTETRICS/GYNECOLOGY
Carrie Wong 4647 Zion Ave, San Diego, CA 92120-2507 GASTROENTEROLOGY
Timothy Armstrong 4647 Zion Ave, San Diego, CA 92120-2507 NEUROLOGY
Mark Thomson 4647 Zion Ave, San Diego, CA 92120-2507 PHYSICAL THERAPY