Basic Information
| Provider Information | |||||||||
| NPI: | 1154487569 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LINERT | ||||||||
| FirstName: | JAYANTHI | ||||||||
| MiddleName: | J. | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1165 ALICANTE DR | ||||||||
| Address2: | |||||||||
| City: | PACIFICA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940444303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6503597311 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7248 S LAND PARK DR # 2065 | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958313660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163924000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 15298 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.