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

Jennifer Rusnanto Ng, NP

Individual provider Family Nurse Practitioner · NPI 1225670318

Jennifer Rusnanto Ng, NP is a Nurse Practitioner in Agoura Hills, California. Qualified in 2018, 8 years ago. Practices with Carbon Health Medical Group of California PC, a 332-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

29525 Canwood St Ste 200
Agoura Hills, CA 91301-4230
Phone: (818) 699-6553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95009670 (CA)

Record details

NPI number1225670318
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 10, 2019
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Carbon Health Medical Group Of California Pc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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