Jean Lacombe, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

16666 Issued in CA

Practice address

191 E Alessandro Blvd Ste 9a
Riverside, CA 92508-5095

Phone

(951) 780-3300

Fax

(951) 672-9635

NPI assigned

Dec 4, 2015

Sex

Male

Sole proprietor

Yes

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

Credentials

Physician Assistant

State licenses

Practice roles

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.

• PRN Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Riverside, CA
  • NPI 1366850059
  NPD (past) Authorized official

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1952776759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E ALESSANDRO BLVD STE 9A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085095",
            "telephone_number": "951-780-3300",
            "fax_number": "951-672-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E ALESSANDRO BLVD STE 9A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085095",
            "telephone_number": "951-780-3300",
            "fax_number": "951-672-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOMBE",
        "first_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "16666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Laboriel
• Yvonne N/a Laborin, RBT
• Louise Emret Labra
• Margarita Lacambra
• Lorie A Lacey-Payne
• Girlyanne Batac Lacson
• Carmen Lacuesta, M.S.
• Sabrina Karene Ladd, NONE
• Jed Ladinez
• Inez Lafave, AGACNP-BC

• Medical Physician Assistant in Riverside, CA
• Providers in Riverside, 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 Dec 4, 2015; 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.