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

Individual provider Physician Assistant · NPI 1053477216

Jennifer J. Judelson, PA-C is a Physician Assistant in Orange, California. Qualified in 2006, 20 years ago. Practices with Oregon Sports Medicine Associates, a 16-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2006
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

1140 W La Veta Ave Ste 860
Orange, CA 92868-4225
Phone: (714) 835-6500
Fax: (714) 541-6105
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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 PA18791 (CA)

Record details

NPI number1053477216
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 29, 2006
Last updated in NPPESJune 8, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Oregon Sports Medicine Associates — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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