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

Jennifer Jean Nissly Larsen, MD

Individual provider Internal Medicine Physician · NPI 1578839486

Jennifer Jean Nissly Larsen, MD is an Internal Medicine in South San Francisco, California. Graduated from Jefferson Medical College of Thomas Jefferson University in 2011, 15 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1200 El Camino Real Dept 384
South San Francisco, CA 94080-3208
Phone: (650) 742-2000
Show map & directions

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

Additional practice locations (1)

  • 710 Lawrence Expy, Santa Clara, CA 95051-5173 — (408) 851-5100

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A122827 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578839486
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2012
Last updated in NPPESJanuary 10, 2022
Certification dateJune 1, 2020

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2011 (15 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South San Francisco