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

Jacqueline Qi, PA

Individual provider Physician Assistant · NPI 1215539556

Jacqueline Qi, PA is a Physician Assistant in Tustin, California. Qualified in 2021, 5 years ago. Practices with Tony N Nakhla DO Inc, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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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.

Additional practice locations (1)

  • 17271 Brookhurst St, Fountain Valley, CA 92708-3701 — (714) 531-2966

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1215539556
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 11, 2020
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Tony N Nakhla Do Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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