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

Jacob Vinson

Individual provider Physician Assistant · NPI 1396339974

Jacob Vinson is a Physician Assistant in Fresno, California. Qualified in 2021, 5 years ago. Practices with Central California Faculty Medical Group Inc, a 254-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 459-5194
Fax: (559) 459-3719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 59205 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 59205 (CA)

Record details

NPI number1396339974
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2021
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Central California Faculty Medical Group Inc — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fresno