Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jasmine Ahdout

Individual provider Physician Assistant · NPI 1619704632

Jasmine Ahdout is a Physician Assistant in Vallejo, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

1310 Club Dr
Vallejo, CA 94592-1187
Phone: (707) 638-5809
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Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1619704632
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 14, 2024
Last updated in NPPESSeptember 14, 2024
Certification dateSeptember 14, 2024
Mailing address1310 Club Dr, Vallejo, CA 94592-1187

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