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REENU M JACOB PA-C
NPI 1255122206
Physician Assistant in Apply Valley, CA

Active since May 16, 2025
18112 CA-18 SUITE 101, APPLY VALLEY, CA 92307(760) 946-2243 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Reenu M Jacob Pa-c NPPES

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

REENU M JACOB PA-C (NPI 1255122206) is an individual physician assistant in Apply Valley, California, licensed in California (PA66143) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1255122206
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameREENU M JACOBCredential: PA-C
Location Address18112 CA-18 SUITE 101Apply Valley, CA 92307
Mailing Address17400 Majestic Cypress WayYorba Linda, CA 92886-5190 · (310) 743-6079
Phone(760) 946-2243
Sole ProprietorYes
Enumeration DateMay 16, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1255122206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA66143
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.
18112 CA-18 SUITE 101, Apply Valley, CA 92307
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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 Reenu Jacob's NPI number?

The NPI number for Reenu Jacob is 1255122206. It was assigned to this individual provider in the NPPES registry on May 16, 2025.

Where is Reenu Jacob located?

Reenu Jacob practices at 18112 Ca-18 Suite 101, Apply Valley, CA 92307. The listed phone number is (760) 946-2243.

What is Reenu Jacob'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 Reenu Jacob was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.