Individual provider · Type 1 NPI

Jacob Daniel Larson, PA-C

Physician Assistant · San Diego, CA

NPI number 1174084149 Active

Practice location

18655 W Bernardo Dr
San Diego, CA 92127-3099

Call (858) 939-9914 Map

Mailing address

222 N Pacific Coast Hwy Ste 1420
El Segundo, CA 90245-5648

Other practice locations

  • 7450 Olivetas Ave, La Jolla, CA 92037-4900 · (858) 454-4201

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X58776 (CA)
Physician Assistant 363A00000XPA58776 (CA)

Physician Assistant: 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, orde…

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About NPI 1174084149

Jacob Daniel Larson, PA-C's National Provider Identifier is 1174084149, issued on Mar 30, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Diego, CA. The record was last updated on May 6, 2025.