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

Jacqueline Enciso

Individual provider Athletic Trainer · NPI 1245121045

Jacqueline Enciso is an Athletic Trainer in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

3900 Lomaland Dr
San Diego, CA 92106-2899
Phone: (619) 849-2200
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X (CA)

Record details

NPI number1245121045
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 10, 2025
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

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