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

Jorge Gonzalo Jara, PA

Individual provider Physician Assistant · NPI 1215314042

Jorge Gonzalo Jara, PA is a Physician Assistant in Camp Pendleton, California. Licensed in Virginia. Registered with an NPI since 2015.

Licensed in
VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

200 Mercy Cir
Camp Pendleton, CA 92055
Phone: (760) 719-3308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110005612 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1215314042
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 30, 2015
Last updated in NPPESAugust 23, 2022
Certification dateAugust 18, 2022

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