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

Jacquelyn Rebosa

Individual provider Primary Care Nurse Practitioner · NPI 1174486146

Jacquelyn Rebosa is a Primary Care Nurse Practitioner in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

3313 Hyland Ave
Costa Mesa, CA 92626-1550
Phone: (714) 716-5031
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95033794 (CA)

Record details

NPI number1174486146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 6, 2025
Last updated in NPPESDecember 6, 2025
Certification dateDecember 6, 2025

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