Jaga Medical Group Inc
NPI 1356898357ActiveOrganization· General Practice· Eagle Rock, CA
General Practice in Eagle Rock, California, registered in NPPES in September 2016. The authorized official on file is Ardienne Ann Grant, D.O., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356898357 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2016 |
| Last updated in NPPES | Oct 20, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 20A7285 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|