Active NPI
Brandon Scott Jarosin, PA
- Physician Assistant
- El Cajon, CA
National Provider Identifier
1104591627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 59375
- Practice address
- 1380 El Cajon Blvd Ste 100
El Cajon, CA 92020-5760 - Phone
- (619) 593-0065
- NPI assigned
- Aug 16, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 59375 | CA | Primary |
Addresses
Primary practice location
1380 El Cajon Blvd Ste 100
El Cajon, CA 92020-5760
Mailing address
1380 El Cajon Blvd
El Cajon, CA 92020-5703
Phone (619) 593-0065
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1104591627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 EL CAJON BLVD",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920205703",
"telephone_number": "619-593-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 EL CAJON BLVD STE 100",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920205760",
"telephone_number": "619-593-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAROSIN",
"first_name": "BRANDON",
"middle_name": "SCOTT",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "59375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.