Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Thomas Bolz, PA-C

Individual provider Physician Assistant · NPI 1386025682

Jacob Thomas Bolz, PA-C is a Physician Assistant in Lakeside, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12517 Lakeshore Dr
Lakeside, CA 92040-3103
Phone: (619) 443-3843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 52510 (CA)

Record details

NPI number1386025682
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 11, 2015
Last updated in NPPESJune 11, 2015

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