Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeanie Ahn, MD

Individual provider Nephrology Physician · NPI 1053359356

Jeanie Ahn, MD is a Nephrology in Fremont, California. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1996, 30 years ago. Practices with West Coast Kidney, a 56-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
30
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1999 Mowry Ave Ste R
Fremont, CA 94538-1738
Phone: (510) 745-8186
Fax: (510) 745-8332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A065315 (CA)
Specialist Taxonomy 174400000X · Licence A65315 (CA)

Record details

NPI number1053359356
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESNovember 27, 2022
Certification dateNovember 27, 2022
Mailing address1999 Mowry Ave, Suite R, Fremont, CA 94538-1738

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1996 (30 years in practice)
Group practice West Coast Kidney — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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