Aj Physician Assistant Professional Corporation
NPI 1447057526ActiveOrganization· Physician Assistant· San Jose, CA
Physician Assistant in San Jose, California, registered in NPPES in February 2025. The authorized official on file is Amanda Jensen, PA-C, Owner/Employee. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1447057526 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2025 |
| Last updated in NPPES | Apr 11, 2025 |
| Certified by provider | Apr 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Physician Assistant, Surgical | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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