Jessica Ashley Cone Vollebregt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20549 Issued in CA

Practice address

26991 Crown Valley Pkwy Ste 100
Mission Viejo, CA 92691-6528

Phone

(949) 582-5430

Fax

(949) 348-9513

NPI assigned

Sep 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1780918409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JOURNEY",
            "address_2": "SUITE 210",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565336",
            "telephone_number": "949-305-7122",
            "fax_number": "949-305-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26991 CROWN VALLEY PKWY STE 100",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916528",
            "telephone_number": "949-582-5430",
            "fax_number": "949-348-9513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Journey",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Aliso Viejo",
            "state": "CA",
            "postal_code": "926565336",
            "country_code": "US",
            "telephone_number": "949-305-7122",
            "fax_number": "949-305-7160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLLEBREGT",
        "first_name": "JESSICA",
        "middle_name": "ASHLEY CONE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.