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

Mr. Jacob Daniel Newsome, PA-C

Individual provider Athletic Trainer · NPI 1689172306

Mr. Jacob Daniel Newsome, PA-C is an Athletic Trainer in Oceanside, California. Licensed in Virginia. Registered with an NPI since 2018.

Licensed in
VA
In the registry since
2018
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

1131 Avenida Frontera
Oceanside, CA 92057-7732
Phone: (609) 231-8485
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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
Athletic Trainer Taxonomy 2255A2300X (VA)

Record details

NPI number1689172306
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 28, 2018
Last updated in NPPESSeptember 18, 2022
Certification dateSeptember 18, 2022

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