Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Lynn Kovall, PA-C

Individual provider Physician Assistant · NPI 1366874703

Jessica Lynn Kovall, PA-C is a Physician Assistant in San Diego, California. Qualified in 2013, 13 years ago. Practices with Regents of the University of California, a 2,061-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
13
Licensed in
CA, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21017 State Route 12f, Watertown, NY 13601-1098 — (315) 786-3436

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 55525 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 016818 (NY)

Record details

NPI number1366874703
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 8, 2013
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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