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JACOB ALLEN MITCHELL CCP
NPI 1306630736
Perfusionist in La Jolla, CA

Active since April 09, 2025
9888 GENESEE AVE, LA JOLLA, CA 92037(858) 834-1798 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Allen Mitchell Ccp NPPES

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

JACOB ALLEN MITCHELL CCP (NPI 1306630736) is an individual perfusionist provider in La Jolla, California and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1306630736
Entity TypeIndividualMale
Primary Taxonomy242T00000X
Provider Legal NameJACOB ALLEN MITCHELLCredential: CCP
Location Address9888 GENESEE AVELa Jolla, CA 92037-1205
Mailing Address4084 Crystal Dawn Ln Unit 201San Diego, CA 92122-5846 · (608) 697-9321
Phone(858) 834-1798
Sole ProprietorYes
Enumeration DateApril 9, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1306630736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code242T00000X
Definition
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
9888 GENESEE AVE, La Jolla, CA 92037
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Other Providers at the Same Location NPPES 20

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

MRS. KIERSTEN DUTRA RN
Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 834-1798
LA JOLLA RADIOLOGY MEDICAL GROUP THERAPY, INC
Clinic/Center (Oncology, Radiation)
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (760) 599-9545
JOSHUA JINHONG PARK PHARMD
Pharmacist
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 305-4336
DR. MONTE TIM MELLON M.D. M.B.A.
Emergency Medicine
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 626-6150
JAMES G. SCHWENDIG M.D.
Surgery (Trauma Surgery)
9888 GENESEE AVE, LJ-601
LA JOLLA, CA 92037
San Diego County (858) 626-6350
AMY EVENSTAD PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9888 GENESEE AVE, LJ 18
LA JOLLA, CA 92037
San Diego County (858) 626-4606
RYAN FONG
Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 834-1798
CHRISTOPHER LUCAS WALSH M.D.
Internal Medicine
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (410) 428-7710

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 Jacob Mitchell's NPI number?

The NPI number for Jacob Mitchell is 1306630736. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Jacob Mitchell located?

Jacob Mitchell practices at 9888 Genesee Ave, La Jolla, CA 92037. The listed phone number is (858) 834-1798.

What is Jacob Mitchell's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Jacob Mitchell was last updated on April 9, 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.