Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jacobo Frietz

Individual provider Physician Assistant · NPI 1104667237

Jacobo Frietz is a Physician Assistant in Mesa, Arizona. Qualified in 2025, 1 year ago. Practices with Clinica La Familia PC, a 38-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2024
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Practice location Address checks out

616 E Southern Ave
Mesa, AZ 85204-4941
Phone: (602) 569-3999
Fax: (602) 569-3887
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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 number1104667237
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 3, 2024
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Clinica La Familia Pc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Clinica La Familia PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 38 clinicians in the practice; 12 are shown here.

Other providers in Mesa