Individual provider Active NPI

Jason Unruh, PA-C

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1033540554
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
21321 Issued in CA
Practice address
3812 Bernice Dr
San Diego, CA 92107-2702
Phone
(619) 861-9759
Fax
(619) 684-3790
NPI assigned
Dec 9, 2013
Sex
Male
Sole proprietor
Yes

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somagen Healthcare Inc 53 clinicians

Practice addresses (Care Compare)

10538 Mission Gorge Rd
Suite 100
Santee, CA 92071-3154
Phone (619) 456-0033

1740 Rosecrans St
San Diego, CA 92106-1928
Phone (619) 790-7800

750 Otay Lakes Rd
Suite 272
Chula Vista, CA 91910-6915

760 Otay Lakes Rd
Chula Vista, CA 91910-6915
Phone (619) 821-2300

8590 Rio San Diego Dr
Suite 111
San Diego, CA 92108-5597
Phone (619) 736-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218001093 CA Practitioner - Physician Assistant 2466972724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Somagen Healthcare Inc CurrentSince Feb 1, 2025 Accepting new patients
Somagen Healthcare Inc CurrentSince Feb 1, 2025 Accepting new patients
Jason Unruh Physician Assistant Inc CurrentSince Jan 1, 2024 Accepting new patients
Somagen Healthcare Inc Past Accepting new patients
Somagen Healthcare Inc Past Accepting new patients
United States Navy Past Accepting new patients
Somagen Healthcare Inc Past Accepting new patients

Locations

760 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 821-2300

750 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 259-9462

5671 Balboa Ave
San Diego, CA 92111
Phone (855) 362-9773

1740 Rosecrans St
San Diego, CA 92106
Phone (619) 790-7800

8590 Rio San Diego Dr
Ste 111
San Diego, CA 92108
Phone (619) 736-4600

2710 Adams Ave
San Diego, CA 92116
Phone (619) 663-6349

8260 Mira Mesa Blvd
Ste A
San Diego, CA 92126
Phone (855) 362-9773

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 21321 CA
Physician Assistant 363A00000X 21321 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

3812 Bernice Dr
San Diego, CA 92107-2702

Mailing address

PO Box 99087
San Diego, CA 92169-1087
Phone (619) 861-9759

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2025.

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1033540554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99087",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921691087",
            "telephone_number": "619-861-9759",
            "fax_number": "619-684-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 BERNICE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072702",
            "telephone_number": "619-861-9759",
            "fax_number": "619-684-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNRUH",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-09",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "21321",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "21321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.