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

Jacqueline Upton, ATC, PA-C

Individual provider Athletic Trainer · NPI 1295704328

Jacqueline Upton, ATC, PA-C is a Physician Assistant in San Diego, California. Qualified in 2009, 17 years ago. Practices with Regents of the University of California, a 2,061-clinician group and accepts Medicare assignment. Licensed in California, Colorado and Illinois.

Years since qualifying
17
Licensed in
CA, CO, IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6719 Alvarado Rd Ste 200
San Diego, CA 92120-5270
Phone: (619) 229-3934
Fax: (619) 582-2860
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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 PA 21933 (CA)
Athletic Trainer Taxonomy 2255A2300X · Licence 096-002133 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 2846 (CO)

Record details

NPI number1295704328
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , PA-C
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESMay 8, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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