Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Rodriguez

Individual provider Physician Assistant · NPI 1316675382

Jacob Rodriguez is a Physician Assistant in Garden City, Utah. Qualified in 2024, 2 years ago. Practices with Health West Inc, a 66-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2022

Practice location Address checks out

325 W Logan Rd
Garden City, UT 84028-7754
Phone: (208) 232-7862
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14190579-1206 (UT)

Record details

NPI number1316675382
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2022
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Health West Inc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Garden City