Jacob Daniel Larson, PA-C
Physician Assistant · San Diego, CA
Jacob Daniel Larson, PA-C is a physician assistant with a practice address in San Diego, California, and NPI 1174084149, issued on Mar 30, 2019. Check the license (California 58776, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacob Daniel Larson
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 58776 CA
PA58776 CA
Self-reported in NPPES; status is on the state search - Practice location
- 18655 W Bernardo Dr, San Diego, CA 92127
- Phone
- (858) 939-9914
- Enumerated
- Mar 30, 2019
- Record last updated
- May 6, 2025
- Medicare enrollment
- Enrolled (PECOS I20250616001428); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 18655 W Bernardo Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Kim Hernandez, PTAPhysical Therapy Assistant1396089959
- Deborah Kress, COTA/LOccupational Therapy Assistant1447594791
- Rosebelle SottoGeriatric Physical Therapist1326429374
- Kathyn Stivers, PTAPhysical Therapy Assistant1407190994
- Diane Wilbers, OTR/LOccupational Therapist1740524305
Verify Jacob Daniel Larson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 58776Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Robert Marriott Medical CorpSan Diego, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
747 physician assistant records list a practice address in San Diego
They are 747 of the 52,937 NPPES records with a practice address in San Diego, and 14,451 physician assistant records in California.
All 747 in San Diego → All 14,451 in California → Every provider in San Diego →
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- Terri Abbott, P.A.La Jolla, CA1811165566
- Angela Abboud, MMS, PA-CSanta Rosa, CA1114399334
Common questions
What is Jacob Daniel Larson, PA-C's NPI number?
Jacob Daniel Larson, PA-C's National Provider Identifier (NPI) is 1174084149, issued on Mar 30, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Daniel Larson, PA-C located?
The NPPES record lists a practice address at 18655 W Bernardo Dr, San Diego, CA, 92127. Phone: (858) 939-9914. Providers update this record themselves, so call before visiting.
How can I verify Jacob Daniel Larson, PA-C's license?
NPPES lists California license number 58776, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.