Individual Healthcare Provider
Jane Elizabeth Hartigan
Provider's NPPES record last updated: September 29, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1417594318
- Primary Specialty
- Physician Assistant — Surgical
- Practice Location
- Santa Rosa, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 5:27 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400X
Provider-Reported License Information
- Physician Assistant (California)
- 57589
Practice Locations
Practice Location
416 Aviation Blvd Ste B
Santa Rosa, California 95403-1032
Phone: (707) 703-2617
Additional Practice Location
2999 Regent St Ste 225
Berkeley, California 94705-2117
Phone: (510) 704-7760
Fax: (510) 506-7725
Record Information
- Enumeration Date
- December 10, 2019
- Provider's NPPES Record Last Updated
- September 29, 2025
- Certification Date
- September 29, 2025
- NPISignal NPPES Dataset
- August 2026
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