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

Mr. Omar Jan, PA

Individual provider Physician Assistant · NPI 1376696971

Mr. Omar Jan, PA is a Physician Assistant in Las Cruces, New Mexico. Qualified in 2003, 23 years ago. Practices with Las Cruces Physician Practices, LLC, a 108-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico and Wisconsin.

Years since qualifying
23
Licensed in
NM, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

4351 E Lohman Ave Ste 301
Las Cruces, NM 88011-8262
Phone: (575) 532-9755
Fax: (575) 532-8881
Show map & directions

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

Additional practice locations (1)

  • 3200 E Racine St, Janesville, WI 53546-2343 — (608) 371-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2005-0019 (NM)
Physician Assistant Taxonomy 363A00000X · Licence 1889 (WI)

Record details

NPI number1376696971
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023
Mailing address4351 E. Lohman Avenue, Suite 301, Las Cruces, NM 88011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Las Cruces Physician Practices, Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Las Cruces