REENU M JACOB PA-C NPI 1255122206

NPI Information

  • NPI: 1255122206
  • Provider Name: REENU M JACOB, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 18112 CA-18 SUITE 101
    APPLY VALLEY, CA
    ZIP 92307
  • Phone: (760) 946-2243

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NPI Details

Reenu M Jacob, PA-C is a physician assistant in Apply Valley, CA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Reenu M Jacob, PA-C NPI is 1255122206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18112 CA-18 SUITE 101
APPLY VALLEY, CA
ZIP 92307
Phone: (760) 946-2243

The enumeration date for this NPI number is 5/16/2025 and was last updated on 5/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA66143CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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