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

Mark Jacobs, PA

Individual provider Physician Assistant · NPI 1346359866

Mark Jacobs, PA is a Physician Assistant in Modesto, California. Works from 3 locations. Licensed in Alabama and Kansas.

Licensed in
AL, KS
In the registry since
2006
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

1541 Florida Ave Ste 305
Modesto, CA 95350-4439
Phone: (209) 575-5833
Fax: (209) 575-5836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 833 Princeton Ave Sw Ste 200a, Birmingham, AL 35211-1321 — (205) 786-2776
  • 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202-3841 — (502) 588-7600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.1502 (AL)
Physician Assistant Taxonomy 363A00000X · Licence 15-01583 (KS)

Record details

NPI number1346359866
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024
Mailing addressPo Box 909, Louisville, KY 40201-0909

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