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

Jerome Norman Glincosky, PAC

Individual provider Family Medicine Physician · NPI 1275507592

Jerome Norman Glincosky, PAC is a Physician Assistant in Chula Vista, California. Qualified in 1991, 35 years ago. Practices with Southern California Health Providers Medical Grp Inc, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

340 4th Ave Ste 2
Chula Vista, CA 91910-3813
Phone: (619) 422-8338
Fax: (619) 476-7679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence PA13203 (CA)

Record details

NPI number1275507592
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Southern California Health Providers Medical Grp Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Chula Vista