Individual provider · Type 1 NPI

Jasen Tjahjadi

Family Medicine Physician · Brentwood, CA

NPI number 1649839077 Active

Practice location

171 Sand Creek Rd Ste A
Brentwood, CA 94513-2057

Call (717) 544-4940 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XMT217899 (PA)
Family Medicine Physician Primary 207Q00000XA176433 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1649839077

Jasen Tjahjadi's National Provider Identifier is 1649839077, issued on Jun 10, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Brentwood, CA. The record was last updated on Jun 18, 2026.