Individual provider Active NPI

Jennifer T DO

  • Physician Assistant
  • Saratoga, CA
National Provider Identifier
1235091166
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
18988 Cox Ave Ste B
Saratoga, CA 95070-4154
Phone
(408) 253-4407
Fax
(408) 253-4499
NPI assigned
Dec 1, 2025
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA Primary

Addresses

Primary practice location

18988 Cox Ave Ste B
Saratoga, CA 95070-4154

Mailing address

5790 Barnswell Way
San Jose, CA 95138-1604
Phone (408) 310-2665

Other practice location 1

2420 Samaritan Dr
San Jose, CA 95124-3907
Phone (408) 369-5600

Other practice location 2

5790 Barnswell Way
San Jose, CA 95138-1604
Phone (408) 310-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260605002126 CA Practitioner - Physician Assistant 3577034917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5790 Barnswell Way
San Jose, CA 95138-1604

PO Box
Pasadena, CA 91189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group CurrentSince Apr 22, 2026 Accepting new patients

Locations

2420 Samaritan Dr
San Jose, CA 95124
Phone (408) 369-5600

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1235091166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 BARNSWELL WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381604",
            "telephone_number": "408-310-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18988 COX AVE STE B",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704154",
            "telephone_number": "408-253-4407",
            "fax_number": "408-253-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2420 Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951243907",
            "country_code": "US",
            "telephone_number": "408-369-5600",
            "fax_number": "408-369-5625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5790 Barnswell Way",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951381604",
            "country_code": "US",
            "telephone_number": "408-310-2665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DO",
        "first_name": "JENNIFER",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

Verify at the official NPI Registry.