Active NPI
Jolly R Jacinto, MD
- Family Medicine Physician
- Porterville, CA
National Provider Identifier
1063495182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A36113
- Practice address
- 380 N Reservation Rd
Porterville, CA 93257-9673 - Phone
- (559) 784-2136
- Fax
- (559) 781-6514
- NPI assigned
- Nov 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A36113 | CA | Primary |
Addresses
Primary practice location
380 N Reservation Rd
Porterville, CA 93257-9673
Mailing address
PO Box 768
380 N Reservation Rd
Porterville, CA 93258-0768
Phone (559) 784-2136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A36113 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063495182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 768",
"address_2": "380 N RESERVATION RD",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932580768",
"telephone_number": "559-784-2136",
"fax_number": "559-781-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 N RESERVATION RD",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932579673",
"telephone_number": "559-784-2136",
"fax_number": "559-781-6514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACINTO",
"first_name": "JOLLY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A36113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Porterville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.