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

Neethu Jacob, PA-C

Individual provider Physician Assistant · NPI 1770024242

Neethu Jacob, PA-C is a Physician Assistant in Encinitas, California. Qualified in 2016, 10 years ago. Practices with Bold Health Medical Group a Professional Corporation, a 9-clinician group, works from 2 locations and offers telehealth.

Years since qualifying
10
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

561 Saxony Pl Ste 101
Encinitas, CA 92024
Phone: (760) 503-4703
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2320 E 93rd St, Chicago, IL 60617-3909 — (773) 967-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1770024242
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 16, 2017
Last updated in NPPESApril 30, 2020
Certification dateApril 30, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Bold Health Medical Group A Professional Corporation — 9 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Encinitas