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JACLYN KWAN PA, APC
NPI 1164024881
Physician Assistant - Surgical in Carlsbad, CA

Active since November 09, 2020
6550 PONTO DR SPC 140, CARLSBAD, CA 92011(310) 619-1161 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Kwan Pa, Apc NPPES

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

JACLYN KWAN PA, APC (NPI 1164024881) is a healthcare organization registered as a surgical in Carlsbad, California and active in the NPI registry since November 2020. The organization lists Jaclyn Kwan, Owner, as its authorized official.

NPPES Registry Identity

NPI1164024881
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameJACLYN KWAN PA, APC
Location Address6550 PONTO DR SPC 140Carlsbad, CA 92011-2317
Mailing Address6550 Ponto Dr Spc 140Carlsbad, CA 92011-2317
Phone(310) 619-1161
Organization SubpartNo
Authorized OfficialJaclyn KwanOwner · (310) 619-1161
Enumeration DateNovember 9, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1164024881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
6550 PONTO DR SPC 140, Carlsbad, CA 92011
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Other Identifiers 1

OtherPA51734CA · Physician Assistant Board

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jaclyn Kwan PA, Apc's NPI number?

The NPI number for Jaclyn Kwan PA, Apc is 1164024881. It was assigned to this organization in the NPPES registry on November 9, 2020.

Where is Jaclyn Kwan PA, Apc located?

Jaclyn Kwan PA, Apc is located at 6550 Ponto Dr Spc 140, Carlsbad, CA 92011. The listed phone number is (310) 619-1161.

What is Jaclyn Kwan PA, Apc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jaclyn Kwan PA, Apc was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.