JACOB WAYNE PANKEY PA-C NPI 1962268656

NPI Information

  • NPI: 1962268656
  • Provider Name: JACOB WAYNE PANKEY, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1337 S LOVERS LN STE D
    VISALIA, CA
    ZIP 93292
  • Phone: (559) 627-9901

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NPI Details

Jacob Wayne Pankey, PA-C is a medical physician assistant in Visalia, CA with 3 years of experience. Jacob Wayne Pankey, PA-C NPI is 1962268656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduation Year:2023

The provider's business location address is:

1337 S LOVERS LN STE D
VISALIA, CA
ZIP 93292-249
Phone: (559) 627-9901
Fax: (559) 627-9906

The NPI 1962268656 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2024 and was last updated on 2/21/2024.

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
1363AM0700XPhysician AssistantMedicalYes

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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