Jasen Tjahjadi
NPI 1649839077ActiveIndividual· Family Medicine· Brentwood, CA
Family Medicine in Brentwood, California, trained at Eastern Virginia Medical School (class of 2019). Part D covered 1,138 prescriptions written in 2024, 83% of them generic.
Overview
| NPI | 1649839077 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 10, 2019 |
| Last updated in NPPES | Jun 18, 2026 |
| Certified by provider | Jun 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A176433 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT217899 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,138 · 2,375 30-day fills |
|---|---|
| Patients | 209 |
| Total drug cost | $127,960 |
| Generic share | 83% of claims |
Education and affiliations
| Medical school | Eastern Virginia Medical School |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Family Practice |
Hospital affiliation
- Contra Costa Regional Medical CenterMartinez, CA
Other facilities
- Jmj Home Health ServicesHome health agency · Brentwood, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Brentwood
- 1336160811
- 1295076933
- 1689621849
- 1275587586
- 1043879281
- 1801094834
- 1801915830
- 1962427633
- 1720145626
- 1760687107
- 1407876063
- 1841753605