Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennie Ninh Xu, PA-C

Individual provider Physician Assistant · NPI 1356162440

Jennie Ninh Xu, PA-C is a Physician Assistant in San Diego, California. Qualified in 2024, 2 years ago. Practices with Smi Imaging LLC, a 376-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2450 Goodstone St
San Diego, CA 92111-6234
Phone: (858) 216-6585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65227 (CA)

Record details

NPI number1356162440
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 21, 2024
Last updated in NPPESOctober 21, 2024
Certification dateOctober 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Smi Imaging Llc — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations19 on file with Medicare

Other providers in San Diego