Individual provider Active NPI

Jennifer Tu, PA

  • Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1295577997
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
65180 Issued in CA
Practice address
465 N Roxbury Dr Ste 800
Beverly Hills, CA 90210-4211
Phone
(310) 777-5400
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 65180 CA Primary

Addresses

Primary practice location

465 N Roxbury Dr Ste 800
Beverly Hills, CA 90210-4211

Mailing address

938 16TH St Apt 4
Santa Monica, CA 90403-3217
Phone (360) 359-6695

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
I20250424002680 CA Practitioner - Physician Assistant 4587180328 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65180CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R. Gatto MD, Inc. Single Specialty PastSince Aug 1, 2007 Accepting new patients
Employee Medical Consultants PC Single Specialty Past Accepting new patients
Citrus Valley Medical Associates, Inc. Single Specialty PastSince Aug 2, 2021 Accepting new patients
Samir a Shah MD Professional Corporation Single Specialty Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1295577997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 16TH ST APT 4",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904033217",
            "telephone_number": "360-359-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR STE 800",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104211",
            "telephone_number": "310-777-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "JENNIFER",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "65180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.