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

Jennifer Jeannine Khamda

Individual provider Medical Physician Assistant · NPI 1912717141

Jennifer Jeannine Khamda is a Medical Physician Assistant in Santa Rosa, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

790 Sonoma Ave
Santa Rosa, CA 95404-4713
Phone: (707) 360-4368
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1912717141
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 9, 2025
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

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