JENNIFER R DAVOUDI CRNA
NPI 1407905920
Nurse Anesthetist, Certified Registered in San Jose, CA
About Jennifer R Davoudi Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER R DAVOUDI CRNA (NPI 1407905920) is an individual nurse anesthetist, certified registered in San Jose, California, licensed in California (521627-2862) and active in the NPI registry since January 2007. She is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer R Davoudi Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Jennifer Davoudi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
San Ramon, CA 94583
- Reassigned Medicare billing, California enrollment
- 41 clinicians in this Medicare group
San Francisco, CA 94104
- Reassigned Medicare billing, California enrollment
- 94 clinicians in this Medicare group
Camarillo, CA 93012
- Reassigned Medicare billing, California enrollment
- 112 clinicians in this Medicare group
Los Angeles, CA 90024
- Reassigned Medicare billing, California enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Davoudi's NPI number?
The NPI number for Jennifer Davoudi is 1407905920. It was assigned to this individual provider in the NPPES registry on January 10, 2007.
Where is Jennifer Davoudi located?
Jennifer Davoudi practices at 250 Hospital Pkwy, San Jose, CA 95119. The listed phone number is (408) 972-6320.
What is Jennifer Davoudi's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jennifer Davoudi enrolled in Medicare?
Yes. Jennifer Davoudi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jennifer Davoudi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Davoudi reassigns Medicare benefits to 5 organizations: Permanente Medical Group Inc (Santa Clara, CA), Empire Anesthesia Inc (San Ramon, CA), Mai Nursing Anesthesia PC (San Francisco, CA), Apa Medical Group, Inc. (Camarillo, CA) and Apmc Medical Group Inc (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Davoudi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Davoudi was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jennifer R Davoudi, CRNA · NPI 1407905920
Nurse Anesthetist, Certified Registered physician in San Jose, California. Individual provider, active in the CMS NPPES registry since January 10, 2007.
## Identity
- **NPI:** 1407905920 (Entity type: Individual)
- **Enumerated:** January 10, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 521627-2862 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 HOSPITAL PKWY, San Jose, CA 95119-1103
- **Phone:** (408) 972-6320
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA); Empire Anesthesia Inc (NPI 1174792261, San Ramon, CA); Mai Nursing Anesthesia PC (NPI 1003572769, San Francisco, CA); Apa Medical Group, Inc. (NPI 1700596111, Camarillo, CA); Apmc Medical Group Inc (NPI 1184592982, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** January 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1407905920) · Data from the CMS NPPES public registry.