Active NPI
Brian Michael Jenkins, PA-C
- Physician Assistant
- Santa Cruz, CA
National Provider Identifier
1467311340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA68090
- Practice address
- 1555 Soquel Dr
Santa Cruz, CA 95065-1794 - Phone
- (562) 884-1948
- NPI assigned
- Jan 17, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA68090 | CA | Primary |
Addresses
Primary practice location
1555 Soquel Dr
Santa Cruz, CA 95065-1794
Mailing address
PO Box 2034
Downey, CA 90242-0034
Phone (562) 884-1948
Other practice location 1
1819 Washington Ave Apt A
Santa Monica, CA 90403-3324
Phone (562) 884-1948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1467311340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2034",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902420034",
"telephone_number": "562-884-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 SOQUEL DR",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651794",
"telephone_number": "562-884-1948"
}
],
"practiceLocations": [
{
"address_1": "1819 Washington Ave Apt A",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904033324",
"country_code": "US",
"telephone_number": "562-884-1948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "BRIAN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-17",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA68090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.