Individual provider Active NPI

Jessica Cincotta

  • Physician Assistant
  • Vista, CA
National Provider Identifier
1679297204
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63793 Issued in CA
Practice address
204 S Santa Fe Ave
Vista, CA 92084-6002
Phone
(760) 491-8888
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 PA63793 CA Primary

Addresses

Primary practice location

204 S Santa Fe Ave
Vista, CA 92084-6002

Mailing address

204 S Sante Fe Ave
Vista, CA 92084
Phone (760) 941-8888

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
I20240301002156 CA Practitioner - Physician Assistant 4284079195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

204 S Santa Fe Ave
Vista, CA 92084-6002
Phone (858) 554-1212

3737 Moraga Ave
Suite B103
San Diego, CA 92117-5352
Phone (858) 799-0855

6640 Irvine Ctr Dr
Irvine, CA 92618-2117
Phone (949) 333-0785

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63793CAMDDentist
PA63793CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. PastSince Jul 13, 2025 Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1679297204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S SANTE FE AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92084",
            "telephone_number": "760-941-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S SANTA FE AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846002",
            "telephone_number": "760-491-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINCOTTA",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.