Active NPI
Naomi Florence Jenkins
- Physician Assistant
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA66495
- Practice address
- 3900 5TH Ave Ste 300
San Diego, CA 92103-3138 - Phone
- (858) 554-1212
- Fax
- (858) 795-1195
- NPI assigned
- Jun 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA66495 | CA | Primary |
Addresses
Primary practice location
3900 5TH Ave Ste 300
San Diego, CA 92103-3138
Mailing address
3900 5TH Ave Ste 300
San Diego, CA 92103-3138
Phone (858) 554-1212
Other practice location 1
588 Longmeadow St
Longmeadow, MA 01106-2292
Phone (413) 565-1000
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, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11865 Carmel Mountain Rd
Suite 1104
San Diego, CA 92128-4610
Phone (858) 997-2583
3737 Moraga Ave
Suite B103
San Diego, CA 92117-5352
Phone (858) 799-0855
3900 5TH Ave
Suite 110
San Diego, CA 92103-3122
Phone (858) 554-1212
665 San Rodolfo Dr
Suite 110
Solana Beach, CA 92075-2047
Phone (858) 266-9551
7855 Ivanhoe Ave
Suite 110
La Jolla, CA 92037-4507
Phone (858) 869-0188
9850 Genesee Ave
La Jolla, CA 92037-1208
Phone (858) 864-9800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA66495 | CA | MD | Physician Assistant |
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- La Jolla, CA
- NPI 1134309305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1437833340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 5TH AVE STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033138",
"telephone_number": "858-554-1212",
"fax_number": "858-795-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 5TH AVE STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033138",
"telephone_number": "858-554-1212",
"fax_number": "858-795-1195"
}
],
"practiceLocations": [
{
"address_1": "588 Longmeadow St",
"address_purpose": "LOCATION",
"city": "Longmeadow",
"state": "MA",
"postal_code": "011062292",
"country_code": "US",
"telephone_number": "413-565-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "NAOMI",
"middle_name": "FLORENCE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA66495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.