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NEETHU JACOB PA-C
NPI 1770024242
Physician Assistant in Encinitas, CA

Active since March 16, 2017PECOS Enrolled
561 SAXONY PL STE 101, ENCINITAS, CA 92024(760) 503-4703 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2019, Mar 16, 2017 (2 updates tracked since 2017).

About Neethu Jacob Pa-c NPPES

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

NEETHU JACOB PA-C (NPI 1770024242) is an individual physician assistant in Encinitas, California and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1770024242
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNEETHU JACOBCredential: PA-C
Location Address561 SAXONY PL STE 101Encinitas, CA 92024
Mailing Address561 Saxony Pl Ste 101Encinitas, CA 92024-7700 · (248) 635-1068
Phone(760) 503-4703
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 16, 2017
Last NPPES UpdateApril 30, 20202 updates tracked since enumeration
NPPES CertifiedApril 30, 2020
✔ NPI 1770024242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
561 SAXONY PL STE 101, Encinitas, CA 92024
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Secondary Practice Location 1

Location 12320 E 93rd StChicago, IL 60617-3909 · Phone (773) 967-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neethu Jacob Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597036830
PECOS Enrollment IDI20210706001589
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

LESLIE ANNE HEARN
Marriage & Family Therapist
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (760) 503-4703
DR. KATHRYN PAPIER HIRST M.D.
Psychiatry & Neurology (Psychiatry)
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (760) 503-4703
VERONICA SANCHEZ MA
Marriage & Family Therapist
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (760) 503-4703
BOLD HEALTH MEDICAL GROUP, A PROFESSIONAL CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (760) 503-5703
BITA KODI PMHNP-BC, FNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (760) 503-4703
MS. PAULA HOLLIS SHAW CADC L
Counselor (Addiction (Substance Use Disorder))
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (626) 864-0756
PORTER VERFURTH
Marriage & Family Therapist
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (760) 503-4703
DR. DAVID J PRINTZ M.D.
Psychiatry & Neurology (Psychiatry)
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (858) 652-1740

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 Neethu Jacob's NPI number?

The NPI number for Neethu Jacob is 1770024242. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Where is Neethu Jacob located?

Neethu Jacob practices at 561 Saxony Pl Ste 101, Encinitas, CA 92024. The listed phone number is (760) 503-4703.

What is Neethu Jacob's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Neethu Jacob enrolled in Medicare?

Yes. Neethu Jacob is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Neethu Jacob was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.