Individual provider Active NPI

Jaron Wesley Taylor, PA

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1356980684
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
Naval Special Warfare Command
200 Trident Way
San Diego, CA 92155-0001
Phone
(360) 878-1644
NPI assigned
Jan 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X CA
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

Naval Special Warfare Command
200 Trident Way
San Diego, CA 92155-0001

Mailing address

200 Trident Way
San Diego, CA 92155-0001
Phone (360) 878-1644

Other practice location 1

Naval Hospital Camp Pendleton
200 Mercy Circle
Camp Pendleton, CA 92055
Phone (760) 725-7499

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1356980684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRIDENT WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921550001",
            "telephone_number": "360-878-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL SPECIAL WARFARE COMMAND",
            "address_2": "200 TRIDENT WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921550001",
            "telephone_number": "360-878-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Naval Hospital Camp Pendleton",
            "address_2": "200 Mercy Circle",
            "address_purpose": "LOCATION",
            "city": "Camp Pendleton",
            "state": "CA",
            "postal_code": "92055",
            "country_code": "US",
            "telephone_number": "760-725-7499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JARON",
        "middle_name": "WESLEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-03",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.