Individual provider · Type 1 NPI

Jacob Tanner Kobernick, PA-C

Physician Assistant · Sun City West, AZ

NPI number 1942093695 Active

Practice location

14520 W Granite Valley Dr Ste 210
Sun City West, AZ 85375-5855

Call (866) 974-2673 Map

Fax (866) 939-2673

Mailing address

18444 N 25th Ave Ste 310
Phoenix, AZ 85023-1266

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	11158 (AZ)

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 1942093695

Jacob Tanner Kobernick, PA-C's National Provider Identifier is 1942093695, issued on May 27, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sun City West, AZ. The record was last updated on Aug 27, 2025.