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

Jennifer Freeman

Individual provider Dermatology Physician · NPI 1417319757

Jennifer Freeman is a Dermatology in Santa Rosa, California. Qualified in 2016, 10 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3883 Airway Dr Ste 203
Santa Rosa, CA 95403-1671
Phone: (707) 521-7760
Fax: (707) 521-7759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 — (702) 671-2341

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A153193 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417319757
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2016
Last updated in NPPESNovember 9, 2020
Certification dateSeptember 2, 2020
Mailing address325 Distel Cir, Los Altos, CA 94022-1408

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Rosa