DR. EBRAHIM MAMOUR JAGNE SR. PA
NPI 1497808497
Physician Assistant - Medical in Santa Ana, CA

NPI Status: Active since January 21, 2007

Contact Information

1329 E 1ST ST
SANTA ANA, CA
ZIP 92701
Phone: (714) 547-6542

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  • Individual
  • Male
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About EBRAHIM JAGNE

This page provides the complete NPI Profile along with additional information for Ebrahim Jagne, a primary care provider established in Santa Ana, California with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1497808497 assigned on January 2007. The practitioner's primary taxonomy code is 363AM0700X with license number PA 12322 (CA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1497808497
Provider Name
DR. EBRAHIM MAMOUR JAGNE SR. PA
Gender
Male
Entity Type
Individual
Location Address
1329 E 1ST ST SANTA ANA, CA 92701
Location Phone
(714) 547-6542
Mailing Address
1137 W 58TH PL LOS ANGELES, CA 90044
Mailing Phone
(310) 283-1279
Is Sole Proprietor?
No
Enumeration Date
01-21-2007
Last Update Date
07-08-2007
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A primary care provider (PCP) like Ebrahim Jagne sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA 12322
License State
CA

Medicare Participation & PECOS Enrollment Status

Ebrahim Jagne is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. EBRAHIM MAMOUR JAGNE SR. PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497808497
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418716016418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 6 + 0 + 1 + 6 + 4 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1497808497 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548427032DR ALONZO E LOCKHART MD PC
Organization
Family Medicine1329 E 1ST ST
SANTA ANA, CA 92701
(714) 547-6542

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497808497, enumerated in the NPI registry as an "individual" on January 21, 2007

The provider is located at 1329 E 1st St Santa Ana, Ca 92701 and the phone number is (714) 547-6542

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on January 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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