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Jillian E Cipa-tatum

  • Female

Medical Specialty

Professional ID

  • NPI: 1629410584
  • PECOS ID: 7618295924
  • Enrollment ID: I20150417000637
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2011

Hospital Service

  • Hospital CCN1: 050211
  • Business Name (LBN)1: Alameda Hospital
  • Hospital CCN2: 050417
  • Business Name (LBN)2: Sutter Coast Hospital
  • Hospital CCN3: 050320
  • Business Name (LBN)3: Highland Hospital

Medical Practices

  • Organization Name: Alameda Inpatient Medical Inc
  • Group Practice ID assigned by PECOS: 5496757577
  • Number of Group Practice member: 14

Location

  • Address1: 2070 Clinton Ave
  • Address2:
  • City: Alameda
  • State: California
  • Zip Code: 94501
  • Phone Number: (510)301-6656

Medical Practices

  • Organization Name: Hospitalist Medicine Physicians Of California, Inc
  • Group Practice ID assigned by PECOS: 8426062027
  • Number of Group Practice member: 260

Location

  • Address1: 800 E Washington Blvd
  • Address2:
  • City: Crescent City
  • State: California
  • Zip Code: 95531
  • Phone Number: (707)464-8511

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):