Individual provider Active NPI

Jennifer Lynn Woodward, PA-C

  • Physician Assistant
  • Templeton, CA
National Provider Identifier
1912194689
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
19358 Issued in CA
Practice address
322 Posada LN Ste a
Templeton, CA 93465-4003
Phone
(805) 434-5555
Fax
(805) 434-5502
NPI assigned
Sep 26, 2007
Last updated
Jan 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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 19358 CA Primary

Addresses

Primary practice location

322 Posada LN Ste a
Templeton, CA 93465-4003

Mailing address

322 Posada LN
Ste a
Templeton, CA 93465-4003
Phone (805) 434-5555

Other names 1

  • Jennifer Lynn Costanzo Former name

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
I20090316000077 CA Practitioner - Physician Assistant 7911064134 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William F Sima MD IncGroup PAC ID 6103876057, 2 clinicians

Practice addresses (Care Compare)

322 Posada LN
Suite a
Templeton, CA 93465-4021
Phone (805) 434-5555

322 Posada LN a
Templeton, CA 93465-4021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19358CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Biologics a Medical Corporation CurrentSince Sep 14, 2017 Accepting new patients
Doctor Yu Dental Corporation PastSince Dec 22, 2025 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

322 Posada Ln
Ste A
Templeton, CA 93465
Phone (805) 434-5555

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1912194689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 POSADA LN",
            "address_2": "STE A",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654003",
            "telephone_number": "805-434-5555",
            "fax_number": "805-434-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 POSADA LN STE A",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654003",
            "telephone_number": "805-434-5555",
            "fax_number": "805-434-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COSTANZO",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.