CHRISTOPHER ALAN JACOB PA-C
NPI 1912760885
Physician Assistant - Medical in San Diego, CA

Active since February 02, 2024
35000 GUADALCANAL ST, SAN DIEGO, CA 92140(619) 524-1385(619) 524-8072 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Christopher Alan Jacob Pa-c NPPES

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

CHRISTOPHER ALAN JACOB PA-C (NPI 1912760885) is an individual medical provider in San Diego, California, licensed in Utah (14217533-1206) and active in the NPI registry since February 2024. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1912760885
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCHRISTOPHER ALAN JACOBCredential: PA-C
Location Address35000 GUADALCANAL STSan Diego, CA 92140-5599
Mailing Address35000 Guadalcanal StSan Diego, CA 92140-5599 · (619) 524-1385 · Fax (619) 524-8072
Fax(619) 524-8072
Sole ProprietorNo
Enumeration DateFebruary 2, 2024
Last NPPES UpdateApril 15, 2026
NPPES CertifiedApril 15, 2026
NPI 1912760885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in UT · 14217533-1206
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedPhysician AssistantTaxonomy 363A00000X · License 14217533-1206 (UT)
35000 GUADALCANAL ST, San Diego, CA 92140

Secondary Practice Location 1

Location 134800 Bob Wilson DrSan Diego, CA 92134-1098 · Phone (619) 532-6400

Other Providers at the Same Location NPPES 12

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

Military Health Care Provider (Independent Duty Corpsman)
35000 GUADALCANAL ST, BRANCH MEDICAL CLINIC MCRD
SAN DIEGO, CA 92140
Military Health Care Provider (Independent Duty Corpsman)
35000 GUADALCANAL ST, BRANCH MEDICAL CLINIC MCRD
SAN DIEGO, CA 92140
Military Health Care Provider (Independent Duty Corpsman)
35000 GUADALCANAL ST, BRANCH MEDICAL CLINIC MCRD
SAN DIEGO, CA 92140
Clinic/Center (Military/U.S. Coast Guard Outpatient)
35000 GUADALCANAL ST, BRANCH MEDICAL CLINIC MCRD
SAN DIEGO, CA 92140
Military Health Care Provider
35000 GUADALCANAL ST
SAN DIEGO, CA 92140
Physician Assistant
35000 GUADALCANAL ST
SAN DIEGO, CA 92140
Specialist/Technologist (Athletic Trainer)
35000 GUADALCANAL ST
SAN DIEGO, CA 92140
Military Health Care Provider (Independent Duty Corpsman)
35000 GUADALCANAL ST, BRANCH MEDICAL CLINIC MARINE CORPS RECRUIT DEPOT
SAN DIEGO, CA 92140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912760885, enumerated as an "individual" on February 02, 2024.

The provider is located at 35000 GUADALCANAL ST SAN DIEGO, CA 92140 and the phone number is (619) 524-1385.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.