Whalio Doctors

NPI 1003061532

Jesse Jacobs

Practitioner Physician Assistant Santa Barbara, CA

Practice location

Address
401 E Carrillo St, Santa Barbara, CA 93101-1460
Phone
(805) 563-3307
Fax
(805) 563-0998
Mailing address
10999 Marbella Dr, Rancho Cucamonga, CA 91737-6988

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 19978 (CA)

Registry record

NPI
1003061532
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Nov 2008
Record last updated
25 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.