Jacob Russell Suba
Jacob Russell Suba is a Physician Assistant in Orange, California. Qualified in 2023, 3 years ago. Practices with Spine and Sports Specialities Medical Group, a 15-clinician group and accepts Medicare assignment.
- Years since qualifying
- 3
- In the registry since
- 2023
Practice location Address checks out
1120 W La Veta Ave Ste 300Orange, CA 92868-4246
Phone: (714) 598-1745
Fax: (714) 941-9539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1407632532 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 5, 2023 |
| Last updated in NPPES | January 16, 2025 |
| Certification date | January 16, 2025 |
| Mailing address | 2863 Saint Tropez Dr, Ontario, CA 91761-0398 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Spine And Sports Specialities Medical Group — 15 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Orange
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Kelly Marie Skvarna
101 The City Dr S, Orange, CA 92868-3201 · (714) 456-8888
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John N Slingerland, PA-C
1120 W La Veta Ave Ste 300, Orange, CA 92868-4246 · (714) 598-1745
-
Rodolpho M Solorzano, PAC
280 S Main St Ste 200, Orange, CA 92868-3852 · (714) 634-4567
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Jennifer Lynn Strickland
505 S Main St Ste 300, Orange, CA 92868-4523 · (714) 509-7070
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Jennifer Sun, PA-C
1140 W La Veta Ave Ste 730, Orange, CA 92868-4229 · (714) 541-6800
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Danielle Antonette Swanson, PA-C
1100 W Stewart Dr, Orange, CA 92868-3849 · (714) 633-9111
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Christopher Andres Terreros Ugarte
280 S Main St Ste 200, Orange, CA 92868-3852 · (714) 937-2121
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Chloe Anne Thomas
1201 W La Veta Ave, Orange, CA 92868-4203 · (714) 399-6809