Individual provider · Type 1 NPI

Jacob Russell Suba

Physician Assistant · Orange, CA

NPI number 1407632532 Active

Practice location

1120 W La Veta Ave Ste 300
Orange, CA 92868-4246

Call (714) 598-1745 Map

Fax (714) 941-9539

Mailing address

2863 Saint Tropez Dr
Ontario, CA 91761-0398

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1407632532

Jacob Russell Suba's National Provider Identifier is 1407632532, issued on Sep 5, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Orange, CA. The record was last updated on Jan 16, 2025.