Jacob Larson, PA-C
NPI 1174084149 · Physician Assistant · San Diego, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Larson, PA-C is a Physician Assistant provider in San Diego, CA (NPI 1174084149).
Provider details
- NPI number
- 1174084149
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 7450 Olivetas AveLa Jolla, CA 92037-4900Phone: (858) 454-4201
Registry dates
- Enumerated
- 2019-03-30
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Frequently asked questions
- What is Jacob Larson's NPI number?
- Jacob Larson's National Provider Identifier (NPI) is 1174084149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Larson's specialty?
- Jacob Larson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacob Larson located?
- Jacob Larson's practice location on file with NPPES is 18655 W Bernardo Dr, San Diego, CA 92127-3099.
- What is Jacob Larson's phone number?
- The practice phone number listed in the NPPES registry for Jacob Larson is (858) 939-9914.
- Does Jacob Larson accept Medicare?
- Jacob Larson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Larson's NPI active?
- Yes — Jacob Larson's NPI (1174084149) is active in the NPPES registry as of the last update on 2025-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.