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

Jenna E Noenickx

Individual provider Physician Assistant · NPI 1912437047

Jenna E Noenickx is a Physician Assistant in Santa Maria, California. Qualified in 2017, 9 years ago. Practices with David B. Hammer, a 116-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1102 E Clark Ave Ste 120A
Santa Maria, CA 93455-5175
Phone: (805) 332-8185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 5920 West Mall, Atascadero, CA 93422-4232 — (805) 466-0676
  • 217 W Central Ave Ste G, Lompoc, CA 93436-2830 — (805) 735-4292
  • 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 — (805) 474-8450
  • 1400 E Church St, Santa Maria, CA 93454-5906 — (805) 739-3000
  • 2271 S Depot St, Santa Maria, CA 93455-1216 — (805) 922-0561

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 54819 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1912437047
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2017
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice David B. Hammer — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Santa Maria