Jacob Daniel Larson, PA-C
NPI 1174084149ActiveIndividual· Physician Assistant· San Diego, CA
Physician Assistant (PA-C) with Robert Marriott Medical Corp, practicing in San Diego, California. Enrolled in Medicare as practitioner - physician assistant. Ucb, Inc. reported $23.14 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1174084149 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 30, 2019 |
| Last updated in NPPES | May 6, 2025 |
| Certified by provider | May 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 58776 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | CA |
| Physician Assistant | 363A00000X | PA58776 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Robert Marriott Medical CorpIrvine, CA · 64 clinicians
Industry payments (Open Payments)
- 2025$23.14 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ucb, Inc. | $23.14 | 1 |
What the 2025 payments were for
- Food and Beverage$23.14 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 757 physician assistants in San Diego · All physician assistants in California