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JENNIFER JEANNINE KHAMDA
NPI 1912717141
Physician Assistant - Medical in Santa Rosa, CA

Active since January 09, 2025
790 SONOMA AVE, SANTA ROSA, CA 95404(707) 360-4368 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Jeannine Khamda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER JEANNINE KHAMDA (NPI 1912717141) is an individual medical provider in Santa Rosa, California and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1912717141
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER JEANNINE KHAMDA
Location Address790 SONOMA AVESanta Rosa, CA 95404-4713
Mailing Address2403 Professional DrSanta Rosa, CA 95403-3007 · (707) 360-4387
Phone(707) 360-4368
Sole ProprietorNo
Enumeration DateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1912717141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
790 SONOMA AVE, Santa Rosa, CA 95404
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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.

EMERITO E RIVERA
Licensed Vocational Nurse
790 SONOMA AVE
SANTA ROSA, CA 95404
Sonoma County (707) 544-3295
SANDRA C CESPEDES SUDRC 1
Counselor (Addiction (Substance Use Disorder))
790 SONOMA AVE
SANTA ROSA, CA 95404
Sonoma County (707) 544-3295
SARA DANIELLA PEREZ LVN
Licensed Vocational Nurse
790 SONOMA AVE
SANTA ROSA, CA 95404
Sonoma County (707) 544-3295
ANTHONY SANTIAGO CORDOVA MARTINEZ MA
Physician Assistant (Medical)
790 SONOMA AVE
SANTA ROSA, CA 95404
Sonoma County (707) 360-4368
TUAN QUOC PHAN LVN
Licensed Vocational Nurse
790 SONOMA AVE
SANTA ROSA, CA 95404
Sonoma County (707) 544-3295
CHUAN JIAN LU LVN
Licensed Vocational Nurse
790 SONOMA AVE
SANTA ROSA, CA 95404
Sonoma County (707) 360-4368
ESMERALDA BUSTAMANTE MA
Physician Assistant (Medical)
790 SONOMA AVE
SANTA ROSA, CA 95404
Sonoma County (707) 360-4368
ANGELINA ELIZABETH TORRES
Counselor (Addiction (Substance Use Disorder))
790 SONOMA AVE
SANTA ROSA, CA 95404
Sonoma County (707) 544-3295

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 Khamda's NPI number?

The NPI number for Jennifer Khamda is 1912717141. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Where is Jennifer Khamda located?

Jennifer Khamda practices at 790 Sonoma Ave, Santa Rosa, CA 95404. The listed phone number is (707) 360-4368.

What is Jennifer Khamda's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Khamda was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.