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Jacob Daniel Larson, PA-C

Physician Assistant in San Diego, CA · enumerated 2019 · practices at Casa De Las Campanas, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174084149

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Registry record

Entity type Individual (Type 1)
Name Jacob Daniel Larson
Credential PA-C
Sex Male
Practice address 18655 W Bernardo Dr, San Diego, CA, 92127
Phone (858) 939-9914
Enumeration date Mar 30, 2019
Last updated in NPPES May 6, 2025

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 58776 (CA) Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA58776 (CA) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Jacob Larson?
Jacob Larson is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-06.