Search › California › 363A00000X
Jacob Larson, PA-C
NPI 1174084149 · on the registry since 2019
Practice
- Address
- 18655 W Bernardo Dr
San Diego, CA 92127 - Phone
- (858) 939-9914
- Organisation at this address
- Casa De Las Campanas, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 7450 Olivetas Ave, La Jolla, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
363A00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California