Individual provider Active NPI

Amanda Jensen, PA-C

  • Surgical Physician Assistant
  • San Jose, CA
National Provider Identifier
1932986866
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
63444 Issued in CA
Practice address
1617 The Strand Ave
San Jose, CA 95120-3857
Phone
(408) 627-1126
NPI assigned
Sep 13, 2023
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 63444 CA Primary

Addresses

Primary practice location

1617 The Strand Ave
San Jose, CA 95120-3857

Mailing address

1617 The Strand Ave
San Jose, CA 95120-3857
Phone (408) 627-1126

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
I20231127001388 CA Practitioner - Physician Assistant 1951759307 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Jose, CA 95120
Phone (408) 627-1126

1617 The Strand Ave
San Jose, CA 95120-3857

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine CurrentSince Nov 1, 2023 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Nov 1, 2023 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

340 Dardanelli Ln
Ste 10
Los Gatos, CA 95032
Phone (408) 412-8100

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Interoperability endpoints

  • Direct secure messaging: ajensen154142@santaclaravalley.direct-ci.net
  • Direct secure messaging: amanda.jensen.p2@direct.muirortho.nextgenshare.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1932986866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 THE STRAND AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951203857",
            "telephone_number": "408-627-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 THE STRAND AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951203857",
            "telephone_number": "408-627-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "63444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.