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Active NPI 1285644294 Individual Practitioner Male Practitioner

Jesse J. Jacquez , PA-C

Physician Assistant - Medical • Colton, CA

Professional Overview & Biography Verified Profile Summary

Jesse Jacquez, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Colton, CA. Practice services are available at 895 W VALLEY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

895 W Valley Blvd

Colton, CA 923242001

Telephone 9098243389
Fax 9098241087
Associated Practice Facility / Clinic
🏢 Devang Patel Dds Inc Facility NPI 1447421839

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Colton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Colton, CA (3472 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-15
Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License CA PA10031

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1659483352 (CA)
Medicaid State Provider ID
GR0071450 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Norma Veron

Community/Behavioral Health

NPI 1124904255
NPI 1518055276

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 15, 2023

Registered at 895 W VALLEY BLVD, COLTON, CA 923242001 (Tel: 9098243389)

📍
Updated Business Mailing Address June 15, 2023

Registered at 895 W VALLEY BLVD, COLTON, CA 923242001 (Tel: 9098243389)

NPI Profile Active April 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2013

Registered at 23080 ALESSANDRO BLVD STE 202, MORENO VALLEY, CA 925539674 (Tel: 9516977866)

📍
Updated Business Mailing Address April 01, 2013

Registered at 23080 ALESSANDRO BLVD STE 202, MORENO VALLEY, CA 925539674 (Tel: 9516977866)

👤
Provider Name / Credentials Updated April 01, 2013

Recorded as JESSE JACQUEZ, P.A.-C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2013

Physician Assistant (License #PA10031 in CA)

🟢
Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285644294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: June 15, 2023
Sole Proprietor: No

Mailing Address

895 W Valley Blvd

Colton, CA 923242001

Phone: 9098243389

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.