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Active NPI 1598410615 Individual Practitioner Female Practitioner

Jacqueline Small , PA-C

Physician Assistant • La Jolla, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jacqueline Small, PA-C is a certified Physician Assistant practicing in La Jolla, CA. With approximately 5 years of clinical experience since completing medical education in 2021, Jacqueline Small delivers high-quality medical care to the local community at 9898 GENESEE AVE FL 1.

Jacqueline Small is affiliated with Scripps Health and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, fitting and insertion of vaginal support device. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9898 Genesee Ave Fl 1

La Jolla, CA 920371205

Telephone 8588244110
Associated Practice Facility / Clinic
🏢 Scripps Health Facility NPI 1861477846

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in La Jolla, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -4.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
136 Specialists

Practicing in La Jolla, CA (14617 Statewide)

Telehealth Adoption Rate
37.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
80.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Small (5 Years) 5 Yrs
La Jolla Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
387 260 $350.30 $115.84
99213 Established patient office or other outpatient visit, typically 15 minutes
320 221 $248.45 $82.81
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
261 195 $59.29 $14.37
57160 Fitting and insertion of vaginal support device
98 61 $290.82 $66.98
A4561 Pessary, rubber, any type
98 64 $56.00 $26.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
79 61 $491.28 $162.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
25 24 $155.88 $51.99
17999 Skin, mucus membrane and beneath the skin procedure
24 18 $363.20 $83.06
57110 Removal of vaginal wall
22 22 $678.31 $94.60
57250 Repair of herniated rectum into vaginal wall
22 22 $465.37 $43.38
57425 Surgical repair of vaginal defect using an endoscope
20 20 $727.90 $135.41
57120 Suture closure of the vagina and vaginal opening
20 20 $403.56 $37.71
58262 Vaginal removal of uterus (250 grams or less), tubes, and/or ovaries
19 19 $694.74 $129.43
57288 Creation of sling around bladder canal (urethra) to control leakage
14 14 $561.03 $56.28
58542 Partial removal of uterus (250 grams or less), tubes and/or ovaries with retention of cervix using an endoscope,
12 12 $623.85 $58.05
51701 Insertion of temporary bladder tube
11 11 $174.20 $40.77
17250 Application of chemical to stop tissue regrowth in wound
11 11 $363.20 $83.11

Medical Specialties & State Licenses

CMS Verified: 2026-01-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 60721

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.

Hospital & Practice Group Affiliations

Scripps Health

9896 Genesee Ave, La Jolla, CA 920371205

Phone: 8586264123

Scripps Health

9898 Genesee Ave, La Jolla, CA 920371205

Phone: 8584559100

Scripps Health

9888 Genesee Ave, La Jolla, CA 920371205

Phone: 8586264123

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Varuna Raizada , MBBS

Obstetrics & Gynecology

NPI 1518126317

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated January 23, 2026

Recorded as JACQUELINE SMALL, PA-C

📍
Updated Business Mailing Address March 16, 2022

Registered at 10790 RANCHO BERNARDO RD, SAN DIEGO, CA 921275705 (Tel: 8588244110)

NPI Profile Active February 16, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2022

Registered at 9898 GENESEE AVE FL 1, LA JOLLA, CA 920371205 (Tel: 8588244110)

📍
Updated Business Mailing Address February 16, 2022

Registered at 13426 WYNGATE PT, SAN DIEGO, CA 921301347 (Tel: 8584013513)

👤
Provider Name / Credentials Updated February 16, 2022

Recorded as JACQUELINE CODEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2022

Physician Assistant (License #60721 in CA)

🟢
Initial NPI Registration & Enumeration February 16, 2022

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: 1598410615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2022
Last Update: January 23, 2026
Sole Proprietor: Yes

Mailing Address

10790 Rancho Bernardo Rd

San Diego, CA 921275705

Phone: 8588244110

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.