Active NPI
Jason Justin, PA-C
- Physician Assistant
- Mill Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA54845
- Practice address
- 750 Redwood Hwy Frontage Rd Ste 1204
Mill Valley, CA 94941-2483 - Phone
- (415) 384-4778
- NPI assigned
- Apr 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA54845 | CA | |
| Physician Assistant | 363A00000X | PA54845 | CA | Primary |
Addresses
Primary practice location
750 Redwood Hwy Frontage Rd Ste 1204
Mill Valley, CA 94941-2483
Mailing address
434 S San Vicente Blvd # 100
Los Angeles, CA 90048-4108
Other practice location 1
34 Mark West Springs Rd
Santa Rosa, CA 95403-1766
Phone (707) 546-1922
Other practice location 2
434 S San Vicente Blvd # 100
Los Angeles, CA 90048-4108
Phone (310) 360-6780
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 N Dutton Ave
Santa Rosa, CA 95401-4607
Phone (707) 543-8360
170 Columbus Ave
Suite 110
San Francisco, CA 94133-5160
Phone (415) 965-8050
199 W Portal Ave
San Francisco, CA 94127-1305
Phone (415) 821-8798
2395 Lombard St
San Francisco, CA 94123-2601
Phone (415) 796-2242
325 Gellert Blvd
Daly City, CA 94015-2613
Phone (650) 270-2394
6174 State Farm Dr
Rohnert Park, CA 94928-2135
Phone (707) 586-4320
747 52ND St
Oakland, CA 94609-1809
Phone (510) 428-3000
750 Redwood Hwy Frontage Rd
Suite 1204
Mill Valley, CA 94941-2483
Phone (415) 384-4778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA54845 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Rosa Orthopaedic Medical Group, Inc. | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| Santa Rosa Orthopaedic Medical Group, Inc. | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Past | Accepting new patients |
Locations
1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617
2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400
1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711
25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070
1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799
1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234
640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
6174 State Farm Dr
Rohnert Park, CA 94928
Phone (707) 586-4320
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055
2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553
740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000
988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
1405 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 546-1922
1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360
3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500
3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575
Interoperability endpoints
- jjustin340937@direct-ucsfmedicalcenter.org
Organizations & group practices 11
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.
-
dba Concentra Urgent Care
- Clinic/Center
- Los Angeles, CA
- NPI 1750573622
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1922124866
-
- Orthopaedic Surgery Physician
- Santa Rosa, CA
- NPI 1518907336
-
dba Medical Center of Marin
- Occupational Medicine Clinic/Center
- San Rafael, CA
- NPI 1346372661
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
dba UCSF Physician Group
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Ontario, CA
- NPI 1811464084
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- San Francisco, CA
- NPI 1932491685
-
- Internal Medicine Physician
- Vallejo, CA
- NPI 1336222397
-
- Orthopaedic Surgery Physician
- Petaluma, CA
- NPI 1891450920
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Santa Rosa, CA
- NPI 1811186851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1265967079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 S SAN VICENTE BLVD # 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 REDWOOD HWY FRONTAGE RD STE 1204",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412483",
"telephone_number": "415-384-4778"
}
],
"practiceLocations": [
{
"address_1": "34 Mark West Springs Rd",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954031766",
"country_code": "US",
"telephone_number": "707-546-1922",
"fax_number": "707-569-8620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "434 S San Vicente Blvd # 100",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900484108",
"country_code": "US",
"telephone_number": "310-360-6780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUSTIN",
"first_name": "JASON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-29",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA54845",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA54845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.