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

Jennifer Avise, MD

Individual provider Surgery Physician · NPI 1801039615

Jennifer Avise, MD is a Vascular Surgery in Pleasanton, California. Graduated from Emory University School of Medicine in 2009, 17 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Trained at
Emory University School of Medicine
Licensed in
CA
In the registry since
2009
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

5924 Stoneridge Dr Ste 108
Pleasanton, CA 94588-5400
Phone: (925) 892-4290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 350 30th St Ste 210, Oakland, CA 94609-3425 — (925) 892-4290
  • 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 — (925) 932-6330

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence A137711 (CA)
Surgery Physician Taxonomy 208600000X · Licence A137711 (CA)

Record details

NPI number1801039615
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2009
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024
Mailing address5924 Stoneridge Dr Ste 108, Pleasanton, CA 94588-5400

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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