RYAN JACOBS PA-C
NPI 1023483591
Physician Assistant - Medical in Lake Elsinore, CA

Active since December 08, 2015PECOS EnrolledAccepts Medicare Assignment
31581 CANYON ESTATES DR, LAKE ELSINORE, CA 92532(951) 244-3500 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2021, Dec 8, 2015 (2 updates tracked since 2015).

About Ryan Jacobs Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN JACOBS PA-C (NPI 1023483591) is an individual medical provider in Lake Elsinore, California, licensed in California (52840) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1023483591
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRYAN JACOBSCredential: PA-C
Location Address31581 CANYON ESTATES DRLake Elsinore, CA 92532-0424
Mailing Address31581 Canyon Estates DrLake Elsinore, CA 92532-0424
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 8, 2015
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPI 1023483591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 52840
31581 CANYON ESTATES DR, Lake Elsinore, CA 92532

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ryan Jacobs Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597062588
PECOS Enrollment IDI20160317001762
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
31581 CANYON ESTATES DR
LAKE ELSINORE, CA 92532
Physician Assistant
31581 CANYON ESTATES DR
LAKE ELSINORE, CA 92532
Physician Assistant
31581 CANYON ESTATES DR
LAKE ELSINORE, CA 92532
Non-Pharmacy Dispensing Site
31581 CANYON ESTATES DR
LAKE ELSINORE, CA 92532
Physician Assistant (Medical)
31581 CANYON ESTATES DR
LAKE ELSINORE, CA 92532
Family Medicine
31581 CANYON ESTATES DR
LAKE ELSINORE, CA 92532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Jacobs's NPI number?

The NPI number for Ryan Jacobs is 1023483591. It was assigned to this individual provider in the NPPES registry on December 8, 2015.

Where is Ryan Jacobs located?

Ryan Jacobs practices at 31581 Canyon Estates Dr, Lake Elsinore, CA 92532. The listed phone number is (951) 244-3500.

What is Ryan Jacobs's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ryan Jacobs enrolled in Medicare?

Yes. Ryan Jacobs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ryan Jacobs was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.