1. Home
  2. Directory
  3. California
  4. Tustin
  5. Nurse Practitioner
  6. NPI Profile

JACOB LISCANO
NPI 1487510681
Nurse Practitioner - Family in Tustin, CA

Active since December 31, 2025
17612 17TH ST STE 101, TUSTIN, CA 92780(714) 243-5450 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Liscano NPPES

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

JACOB LISCANO (NPI 1487510681) is an individual family provider in Tustin, California, licensed in California (95037065) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1487510681
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB LISCANO
Location Address17612 17TH ST STE 101Tustin, CA 92780-1962
Mailing Address17612 17th St Ste 101Tustin, CA 92780-1962
Phone(714) 243-5450
Sole ProprietorNo
Enumeration DateDecember 31, 2025
NPPES CertifiedDecember 31, 2025
✔ NPI 1487510681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95037065
17612 17TH ST STE 101, Tustin, CA 92780
Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

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

HENRY C. LUU
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
JACQUELINE QI PA
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
SOL ENRIQUEZ ESTRELLA FNP-BC
Nurse Practitioner (Family)
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
MELISSA JEAN HEAVIRLAND PA-C
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
ANDREW RIZEQ
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
AMY TRAN PA-C
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
NATHAN HWANG
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
SALVATORE PUMA PA-C
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450

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 Liscano's NPI number?

The NPI number for Jacob Liscano is 1487510681. It was assigned to this individual provider in the NPPES registry on December 31, 2025.

Where is Jacob Liscano located?

Jacob Liscano practices at 17612 17th St Ste 101, Tustin, CA 92780. The listed phone number is (714) 243-5450.

What is Jacob Liscano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jacob Liscano was last updated on December 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.