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JESSICA MACIEL
NPI 1053182345
Physician Assistant in San Diego, CA

Active since January 15, 2024
4925 DATE PL, SAN DIEGO, CA 92102(619) 867-1836 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Maciel NPPES

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

JESSICA MACIEL (NPI 1053182345) is an individual physician assistant in San Diego, California and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1053182345
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA MACIEL
Location Address4925 DATE PLSan Diego, CA 92102-1345
Mailing Address4925 Date PlSan Diego, CA 92102-1345
Phone(619) 867-1836
Sole ProprietorNo
Enumeration DateJanuary 15, 2024
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1053182345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X
4925 DATE PL, San Diego, CA 92102
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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 Jessica Maciel's NPI number?

The NPI number for Jessica Maciel is 1053182345. It was assigned to this individual provider in the NPPES registry on January 15, 2024.

Where is Jessica Maciel located?

Jessica Maciel practices at 4925 Date Pl, San Diego, CA 92102. The listed phone number is (619) 867-1836.

What is Jessica Maciel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jessica Maciel was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.