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

Jake Stewart

Individual provider Other Technician · NPI 1275392268

Jake Stewart is an Other Technician in San Diego, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

501 W Broadway Ste 800
San Diego, CA 92101-3546
Phone: (845) 489-5855
Show map & directions

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

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1275392268
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 13, 2024
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

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