Individual provider Active NPI

Jacqueline Carlton, PA-C

  • Physician Assistant
  • Santa Paula, CA
National Provider Identifier
1174207435
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63050 Issued in CA
Practice address
400 E Santa Barbara St Ste a
Santa Paula, CA 93060-2675
Phone
(805) 525-2121
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA63050 CA Primary

Addresses

Primary practice location

400 E Santa Barbara St Ste a
Santa Paula, CA 93060-2675

Mailing address

3400 Data Dr
Attention: Credentialing and Payer Enrollment Dept
Rancho Cordova, CA 95670

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
I20231023003603 CA Practitioner - Physician Assistant 5597111815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Family HealthGroup PAC ID 9234176363, 93 clinicians
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

277 E Front St
Buttonwillow, CA 93206-0917
Phone (866) 707-6664

400 E Santa Barbara St
Suite a
Santa Paula, CA 93060-2675
Phone (805) 525-2121

655 S Central Valley Hwy
Shafter, CA 93263-2790
Phone (866) 707-6664

659 S Central Valley Hwy
Shafter, CA 93263-2790
Phone (866) 707-6664

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA63050CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jan 5, 2026 Accepting new patients
Omni Family Health CurrentSince Aug 28, 2023 Accepting new patients
Omni Family Health CurrentSince Aug 28, 2023 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jan 5, 2026 Accepting new patients

Locations

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

1215 Jefferson St
Delano, CA 93215
Phone (661) 302-1463

912 Fremont St
Delano, CA 93215
Phone (661) 459-1974

1001 Main St
Delano, CA 93215
Phone (661) 454-1712

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

1700 N Rose Ave
Ste 350
Oxnard, CA 93030
Phone (805) 485-7877

925 G St
Reedley, CA 93654
Phone (559) 558-9712

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

400 E Santa Barbara St
Ste A
Santa Paula, CA 93060
Phone (805) 525-2121

659 S Central Valley Hwy
Shafter, CA 93263
Phone (661) 459-1913

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1174207435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SANTA BARBARA ST STE A",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602675",
            "telephone_number": "805-525-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "JACQUELINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

Verify at the official NPI Registry.