Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob John Verhoeven, PA-C

Individual provider Physician Assistant · NPI 1306317987

Jacob John Verhoeven, PA-C is a Physician Assistant in Modesto, California. Qualified in 2018, 8 years ago. Practices with Chanukya Dasari MD a Professional Corporation, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1700 Coffee Rd
Modesto, CA 95355-2803
Phone: (209) 526-4500
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1306317987
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 8, 2018
Last updated in NPPESDecember 8, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Chanukya Dasari Md A Professional Corporation — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Modesto