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MR. JESSE J. JACQUEZ P.A.-C.
NPI 1285644294
Physician Assistant - Medical in Colton, CA

Active since August 09, 2006PECOS Enrolled
895 W VALLEY BLVD, COLTON, CA 92324(909) 824-3389(909) 824-1087 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jesse J. Jacquez P.a.-c. NPPES

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

MR. JESSE J. JACQUEZ P.A.-C. (NPI 1285644294) is an individual medical provider in Colton, California, licensed in California (PA10031) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285644294
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JESSE J. JACQUEZCredential: P.A.-C.
Location Address895 W VALLEY BLVDColton, CA 92324-2001
Mailing Address895 W Valley BlvdColton, CA 92324-2001 · (909) 824-3389 · Fax (909) 824-1087
Phone(909) 824-3389
Fax(909) 824-1087
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1285644294 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 · PA10031
895 W VALLEY BLVD, Colton, CA 92324
Open in Google Maps ↗

Other Identifiers 2

Medicaid1659483352CA
MedicaidGR0071450CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jesse J. Jacquez P.a.-c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

LIZARRAGA MEDICAL CLINIC INC.
Clinic/Center (Primary Care)
895 W VALLEY BLVD
COLTON, CA 92324
San Bernardino County (909) 824-3389
NORMA VERON
Community/Behavioral Health
895 W VALLEY BLVD
COLTON, CA 92324
San Bernardino County (909) 824-3389
DR. PRARTHIT HEMENDRAKUMAR MEHTA DDS
Dentist
895 W VALLEY BLVD
COLTON, CA 92324
San Bernardino County (909) 824-7060
DEVANG PATEL DDS INC
Dentist (General Practice)
895 W VALLEY BLVD, SUIT#C
COLTON, CA 92324
San Bernardino County (909) 824-7060
LIZARRAGA MEDICAL CENTER INC
General Practice
895 W VALLEY BLVD
COLTON, CA 92324
San Bernardino County (909) 824-3389

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 Jesse Jacquez's NPI number?

The NPI number for Jesse Jacquez is 1285644294. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Jesse Jacquez located?

Jesse Jacquez practices at 895 W Valley Blvd, Colton, CA 92324. The listed phone number is (909) 824-3389.

What is Jesse Jacquez's specialty?

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

Is Jesse Jacquez enrolled in Medicare?

Yes. Jesse Jacquez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Jacquez was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.