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

Jennifer Bohannan

Individual provider Surgical Physician Assistant · NPI 1912417676

Jennifer Bohannan is a Physician Assistant in Burlingame, California. Qualified in 2017, 9 years ago. Practices with Seton Family of Doctors, a 785-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017

Practice location Address checks out

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone: (650) 696-5400
Show map & directions

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

Additional practice locations (1)

  • 600 N Wolfe St, Baltimore, MD 21287-0005 — (410) 502-2651

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA68227 (CA)

Record details

NPI number1912417676
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2017
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Seton Family Of Doctors — 785 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Burlingame