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

Jacob Liscano

Individual provider Family Nurse Practitioner · NPI 1487510681

Jacob Liscano is a Family Nurse Practitioner in Tustin, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

17612 17th St Ste 101
Tustin, CA 92780-1962
Phone: (714) 243-5450
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95037065 (CA)

Record details

NPI number1487510681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 31, 2025
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025
Mailing address17612 17th St Ste 101, Tustin, CA 92780-1962

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