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JACQUELYN REBOSA
NPI 1174486146
Nurse Practitioner - Primary Care in Costa Mesa, CA

Active since December 06, 2025
3313 HYLAND AVE, COSTA MESA, CA 92626(714) 716-5031 Get Directions Write a Review

NPPES record last updated: December 6, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacquelyn Rebosa NPPES

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

JACQUELYN REBOSA (NPI 1174486146) is an individual primary care provider in Costa Mesa, California, licensed in California (95033794) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1174486146
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJACQUELYN REBOSA
Location Address3313 HYLAND AVECosta Mesa, CA 92626-1550
Mailing Address2727 E Cornwall StOntario, CA 91761-7947
Phone(714) 716-5031
Sole ProprietorYes
Enumeration DateDecember 6, 2025
NPPES CertifiedDecember 6, 2025
✔ NPI 1174486146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95033794
3313 HYLAND AVE, Costa Mesa, CA 92626
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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 Jacquelyn Rebosa's NPI number?

The NPI number for Jacquelyn Rebosa is 1174486146. It was assigned to this individual provider in the NPPES registry on December 6, 2025.

Where is Jacquelyn Rebosa located?

Jacquelyn Rebosa practices at 3313 Hyland Ave, Costa Mesa, CA 92626. The listed phone number is (714) 716-5031.

What is Jacquelyn Rebosa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Rebosa was last updated on December 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.