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

Jennifer Danielle Bleck

Individual provider Physician Assistant · NPI 1326683350

Jennifer Danielle Bleck is a Physician Assistant in Santa Rosa, California. Graduated from Loma Linda University School of Medicine in 2019, 7 years ago. Practices with Redwood Fam Dermatology Medical Associates - a Medical Corporation, an 18-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
Trained at
Loma Linda University School of Medicine
In the registry since
2019
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Practice location Address checks out

2725 Mendocino Ave
Santa Rosa, CA 95403
Phone: (707) 545-4537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6571 W 84th St, Los Angeles, CA 90045-2852 — (310) 650-0580

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1326683350
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 13, 2019
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023
Mailing address2725 Mendocino Ave, Santa Rosa, CA 95403-2805

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Redwood Fam Dermatology Medical Associates - A Medical Corporation — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Rosa