RYAN JACOBS (NPI# 1023483591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
52840 | CA | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
31581 CANYON ESTATES DR |
City | LAKE ELSINORE |
State | CA |
Zip Code | 92532-0424 |
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 |
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 |
Find all providers in zip 92532 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | LAKE ELSINORE |
Zip Code | 92532 |
Please comment or provide details below to improve the information on RYAN JACOBS.
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.