Individual provider Active NPI

Edward Saliba Jocson, PA-C

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1437361615
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 15224 Issued in CA
Practice address
200 W Arbor Dr Dept 8681
San Diego, CA 92103-8681
Phone
(619) 543-3995
NPI assigned
May 3, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 15224 CA Primary
Medical Physician Assistant 363AM0700X PA 15224 CA

Addresses

Primary practice location

200 W Arbor Dr Dept 8681
San Diego, CA 92103-8681

Mailing address

11412 Faisan Way
San Diego, CA 92124-2884
Phone (619) 754-5809

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
I20140221000902 CA Order and Referring Only - Physician Assistant 8123143187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA 15224CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Family Medical Clinic, Inc. Current Accepting new patients

Locations

36 N Euclid Ave
Ste C
National City, CA 91950
Phone (619) 255-2950

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1437361615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 FAISAN WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242884",
            "telephone_number": "619-754-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR DEPT 8681",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038681",
            "telephone_number": "619-543-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCSON",
        "first_name": "EDWARD",
        "middle_name": "SALIBA",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 15224",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 15224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.