Mark Jacobs, PA
Mark Jacobs is a Physician Assistant provider (Physician Assistant) practicing in Modesto, CA, registered in the NPPES registry with NPI 1346359866 since 2006. The credential PA stands for Physician Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1346359866 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mark Jacobs |
| Credential | PA |
| Sex | Male |
| Practice address | 1541 FLORIDA AVE STE 305, Modesto, CA, 95350 |
| Phone | 2095755833 |
| Fax | 2095755836 |
| Enumeration date | 2006-08-29 |
| Last updated in NPPES | 2024-04-04 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Secondary | 15-01583 | KS |
| 363A00000X | Physician Assistant | Primary | PA.1502 | AL |
PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017889 | Other | — | NCCPA |
| PA12419 | Other | CA | STATE PA LICENSE |
| 9500618500 | Medicaid | KY | — |
Copy-ready billing details
Provider: Mark Jacobs, PA NPI: 1346359866 Taxonomy: 363A00000X (Physician Assistant) Address: 1541 FLORIDA AVE STE 305, Modesto, CA, 95350
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356346936 | James Roberts | Individual | Vascular Surgery Physician | Modesto, CA |
| 1043472871 | John Degraft-Johnson | Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Modesto, CA |
| 1467741975 | Zachary Brewer | Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Modesto, CA |
Verify this record
Cross-check NPI 1346359866 against the authoritative CMS record: view Mark Jacobs on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-04-04.