Jasen Tjahjadi
Jasen Tjahjadi is a Family Practice in Brentwood, California. Graduated from Eastern Virginia Medical School in 2019, 7 years ago. Licensed in California and Pennsylvania.
- Years since qualifying
- 7
- Trained at
- Eastern Virginia Medical School
- Licensed in
- CA, PA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
Brentwood, CANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A176433 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence MT217899 (PA) |
Record details
| NPI number | 1649839077 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 10, 2019 |
| Last updated in NPPES | June 18, 2026 |
| Certification date | June 18, 2026 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Brentwood
-
MS. Maryam A Al Ubaidi, DMD
Student / training record Brentwood, CA
-
Brooke Johnson Alexander, MSCF-SLP
Student / training record Brentwood, CA
-
Lindsey Ryen Denyse Hockridge, MA, LMFT
Student / training record Brentwood, CA
-
Jonathan Kevin Ochoa, MD
Student / training record Brentwood, CA