Jacob Daniel Newsome, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1131 Avenida Frontera
Oceanside, CA 92057-7732

Phone

(609) 231-8485

NPI assigned

Jan 28, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663459200000",
    "number": "1689172306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 AVENIDA FRONTERA",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920577732",
            "telephone_number": "609-231-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 AVENIDA FRONTERA",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920577732",
            "telephone_number": "609-231-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "JACOB",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-28",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Ann Newman, MFTT
• Heather Newman
• Joss Newman, LCSW
• Teresa A Newman
• Vanessa Brooke Newman
• Next Step Medical Inc.
• Peter NG, MD
• Antony Ngondara, PHARMD
• Aimee Nguyen, DMD
• Alex Hoang Nguyen

• Medical Physician Assistant in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; 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.