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Active NPI 1306630736 Individual Practitioner Male Practitioner

Jacob Allen Mitchell , CCP

Perfusionist • La Jolla, CA

Professional Overview & Biography Verified Profile Summary

Jacob Mitchell, CCP is a registered healthcare professional specializing in Perfusionist in La Jolla, CA. Practice services are available at 9888 GENESEE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9888 Genesee Ave

La Jolla, CA 920371205

Telephone 8588341798
Associated Practice Facility / Clinic
🏢 Scripps Health Facility NPI 1841277704

Specialty Benchmarks & Practice Insights

Comparative analytics for Perfusionist in La Jolla, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in La Jolla, CA (151 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: 2025-04-02
Perfusionist Primary Specialty

NUCC Taxonomy Code: 242T00000X

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

Practice Associates & Co-Workers

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

15 Associated Practitioners
Kiersten Dutra , RN

Registered Nurse

NPI 1013874403

Registered Nurse

Ryan Fong

Registered Nurse

NPI 1053289751
Victor Trinh

Student in an Organized Health Care Education/Training Program

NPI 1093643504
NPI 1124714050

Doctor of Pharmacy (Pharm.D.)

Iman Autman

Clinical Nurse Specialist - Medical-Surgical

NPI 1184579070
Kyle Strehlow , NP

Nurse Practitioner

NPI 1366161812

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 09, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2025

Registered at 9888 GENESEE AVE, LA JOLLA, CA 920371205 (Tel: 8588341798)

📍
Updated Business Mailing Address April 09, 2025

Registered at 4084 CRYSTAL DAWN LN UNIT 201, SAN DIEGO, CA 921225846 (Tel: 6086979321)

👤
Provider Name / Credentials Updated April 09, 2025

Recorded as JACOB MITCHELL, CCP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2025

Perfusionist

🟢
Initial NPI Registration & Enumeration April 09, 2025

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: 1306630736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2025
Last Update: April 09, 2025
Sole Proprietor: Yes

Mailing Address

4084 Crystal Dawn Ln Unit 201

San Diego, CA 921225846

Phone: 6086979321

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.