MEDICARE: JENNIFER T DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant		CA

General Provider Information

NPI Number	:	1235091166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER T DO

Provider Business Mailing Address
First Line	:	5790 BARNSWELL WAY
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95138-1604
Country	:	US
Telephone Number	:	408-310-2665
Fax Number	:

Provider Business Practice Location Address
First Line	:	18988 COX AVE STE B
Second Line	:
City	:	SARATOGA
State	:	CA
Zip	:	95070-4154
Country	:	US
Telephone Number	:	408-253-4407
Fax Number	:	408-253-4499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	05/11/2026

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Directions to “ JENNIFER T DO ” Practice Location

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