Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Simon Pedro Jacquez, PA

Medical Physician Assistant in Phoenix, AZ · enumerated 2023 · practices at Advanced Clinical Laboratories, LLC.

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

National Provider Identifier

1336820976

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Registry record

Entity type Individual (Type 1)

Name Simon Pedro Jacquez

Credential PA

Sex Male

Practice address 6211 N 35th Ave, Phoenix, AZ, 85017

Phone (602) 242-5000

Fax (480) 605-2291

Enumeration date Jul 27, 2023

Last updated in NPPES Jul 27, 2023

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 9856 (AZ) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Simon Jacquez's NPI record?

Cross-check NPI 1336820976 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1336820976 active?

Yes, as of the latest NPPES snapshot, NPI 1336820976 is active (record last updated 2023-07-27).

Other providers at this practice address

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Advanced Clinical Laboratories, LLC Clinical Medical Laboratory · Phoenix, AZ NPI 1356552400

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-27.