Search › California › 164X00000X
Austin Jacquillard
NPI 1669287835 · on the registry since 2025
Practice
- Address
- 15145 Lakeshore Dr
Clearlake, CA 95422 - Phone
- (707) 995-7200
- Organisation at this address
- San Francisco Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California