RYAN JACOBS


Address: 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424
Phone: 9512443500

RYAN JACOBS (NPI# 1023483591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023483591
Entity Type Individual
Full Name RYAN JACOBS
Credential PA-C
Practice Address 31581 Canyon Estates Dr
Lake Elsinore
CA 92532-0424
Practice Telephone 9512443500
Enumeration Date 2015-12-08
Last Update Date 2016-03-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
52840 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers RYAN JACOBS

NPI Name Taxonomy Address Enumeration
1780234534 Ryan Jacobs Social Worker 420 W 25th St Apt 4a, New York, NY 10001-6551 2019-09-13
1457987323 Ryan Charles Jacobs Surgery 251 E Huron St, Chicago, IL 60611-2908 2020-03-23
1548615750 Ryan Jacobs Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2016-04-26
1154796209 Ryan Jacobs Counselor 3217 N Eastern Ave, Los Angeles, CA 90032 2015-12-01
1114160082 Ryan Jacobs Internal Medicine 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 2009-04-08

Office Location

Street Address 31581 CANYON ESTATES DR
City LAKE ELSINORE
State CA
Zip Code 92532-0424

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811999261 Mohammad Reza Danesh Family Medicine 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 2005-08-15
1790253672 Navdeep Kaur Gill Physician Assistant 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 2018-11-08
1477074094 Vincent Lieras Family Medicine 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 2017-07-05
1841664711 Christina Kim Tran Physician Assistant 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 2015-11-16
1518377894 Kun Saville Physician Assistant 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 2014-05-07
1710242474 Southern California Primary Care Canyon Lake Urgent & Family Care Non-Pharmacy Dispensing Site 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 2012-07-09
1376632281 Southern California Primary Care Medical Group, Inc Clinic/Center 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 2006-10-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649817842 The Social Work Action Group Family Medicine 28497 California 74 Suite 113, Lake Elsinore, CA 92532 2019-12-06
1720477235 Skyler Jeffrey Liatti Dentist 29273 Central Ave Ste A, Lake Elsinore, CA 92532 2015-01-21
1386068310 Michael D Boucher Physician Assistant 29997 Canyon Hills Rd Ste 1604, Lake Elsinore, CA 92532 2014-02-11
1902083595 Joong Gu Han Acupuncturist 53116 Tropical Street, Lake Elsinore, CA 92532 2008-01-25
1063632123 Taba Apostu & Apostu Professional Dental Corp Dentist 361 Railroad Canyon Rd, #a, Lake Elsinore, CA 92532 2007-04-30
1164584793 Stephen Gerard Schroeder Optometrist 25321 Railroad Canyon Dr., #503, Lake Elsinore, CA 92532 2006-12-13
1194821041 Derek B. Hauser Dentist 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 2006-09-16
1912017567 Costco Wholesale Corporation Pharmacy 29315 Central Ave, Lake Elsinore, CA 92532 2006-08-30
1952331217 Longs Drug Stores California LLC Durable Medical Equipment & Medical Supplies 29985 Canyon Hills Road, Lake Elsinore, CA 92532 2006-07-03
1467709642 Matthew Randall Kanter Dentist 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 2012-08-07
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295107407 American Spine Physician Assistant 31569 Canyon Estates Dr, Ste 135, Lake Elsinore, CA 92532-0470 2015-10-27
1205867116 James Ernest Smith Physician Assistant 29991 Canyon Hills Rd, Suite 1709-209, Lake Elsinore, CA 92532-2578 2006-07-06
1831717156 Austin Ebner Physician Assistant 506 W Graham Ave, Lake Elsinore, CA 92530-3666 2020-07-13
1790253672 Navdeep Kaur Gill Physician Assistant 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 2018-11-08
1316312440 Saema Sial Physician Assistant 31569 Canyon Estates Dr, Suite 135, Lake Elsinore, CA 92532-0470 2015-12-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760089437 Karine Harutyunyan Physician Assistant 500 E Colorado St Ste 101, Glendale, CA 91205-1607 2020-10-06
1437756228 Kale Burket Physician Assistant Bldg 523, S 8th St, El Centro, CA 92243 2020-10-05
1548867666 Heba Marzouk Al-shoubaki Physician Assistant 633 S Pepper St, Anaheim, CA 92802-1459 2020-10-01
1275140550 Lisa Lynn Passalacqua Physician Assistant 431 7th St, Norco, CA 92860-1671 2020-09-30
1144833989 Trisha Taylor Physician Assistant 10399 Tivoli Way, Yucaipa, CA 92399-6017 2020-08-30
1457963944 Harlan William Monahan Physician Assistant 5210 Del Rio Rd, Sacramento, CA 95822-2519 2020-08-18
1275144313 Sofia Carmen Bustillo Physician Assistant 1709 Coral Pl, Seal Beach, CA 90740-5712 2020-08-12
1124638663 Gayaneh Gharakhani Physician Assistant 1323 E Broadway Apt 110, Glendale, CA 91205-4018 2020-08-07
1144830183 Loc Bao Tran Physician Assistant 8937 Emerson Pl, Rosemead, CA 91770-2813 2020-08-04
1558997957 Sarah Lubinsky Physician Assistant 1511 Montana Ave, Santa Monica, CA 90403-1891 2020-03-17
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Competitor

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City LAKE ELSINORE
Zip Code 92532

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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