DR. GARY P JACOBS (NPI# 1073681623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073681623 |
| Entity Type | Individual |
| Full Name | DR. GARY P JACOBS |
| Credential | MD |
| Practice Address |
14560 Magnolia St Ste 101 Westminster CA 92683-4791 |
| Mailing Address |
3432 Gurnard Ave San Pedro San Pedro CA 90732-4716 |
| Practice Telephone | 7148897041 |
| Mailing Telephone | 3103864200 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A42016 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808183 | Gary Jacobs | Home Health Aide | 1581 Clay Rd, Dorset, OH 44032-9722 | 2020-10-10 |
| 1679776033 | Gary Jacobs | Counselor | 940 Haight St, San Francisco, CA 94117-3107 | 2007-06-05 |
| 1760690135 | Gary Leonard Jacobs | Technician/Technologist | 13132 Cortez Blvd, Brooksville, FL 34613-4858 | 2007-05-18 |
| 1366406399 | Gary Jacobs | Optometrist | 684 Allen St, Syracuse, NY 13210-2664 | 2006-04-14 |
| 1992772552 | Gary M Jacobs | Ophthalmology | 681 Third Ave, Chula Vista, CA 91910-5703 | 2006-03-02 |
| 1285615963 | Gary Blayne Jacobs | Emergency Medicine | 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 | 2005-11-09 |
| 1407853732 | Gary R Jacobs | Surgery | 703 E Marshall Ave, #4008, Longview, TX 75601-5500 | 2005-07-01 |
| 1346675121 | Gary W. Jacobs | Social Worker | 11161 Kenwood Rd, Blue Ash, OH 45242-1817 | 2013-09-11 |
| 1417292277 | Gary J. Jacobs | Speech-Language Pathologist | 340 Falcon Ridge Pkwy, Building 500, Mesquite, NV 89027-8850 | 2012-12-05 |
| 1649404104 | Gary Jacobs | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2009-05-12 |
| Street Address |
14560 MAGNOLIA ST STE 101 |
| City | WESTMINSTER |
| State | CA |
| Zip Code | 92683-4791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578050050 | Luna Dawn Garcia | Behavior Technician | 3950 Milton Ave Suite 200b, Westminster, CA 92683 | 2018-04-19 |
| 1912494899 | Sarah Martin | Behavior Technician | 13950 Milton Ave 220b, Westminster, CA 92683 | 2018-04-17 |
| 1952817314 | Emad Moawad Dental Corporation | Clinic/Center | 7631 Westminster Blvd. #a, Westminster, CA 92683 | 2017-12-21 |
| 1992216717 | Cornerstone Dentistry | Clinic/Center | 14120 Beach Blvd. #212, Westminster, CA 92683 | 2017-10-19 |
| 1306369566 | Nova Surgery Center, LLC | Surgery | 8331 Westminster Blvd Ste B, Westminster, CA 92683 | 2017-07-19 |
| 1619429693 | All Smiles Dental | Dentist | 9361 Bolsa Avenue, Suite #102, Westminster, CA 92683 | 2016-10-26 |
| 1265882856 | Anh Phuong Nguyen | Occupational Therapist | 15606 A Brookhurst St., Westminster, CA 92683 | 2016-06-15 |
| 1194192831 | Tuong Vi Thi Nguyen | Dentist | 16517 Magnolia Street, Westminster, CA 92683 | 2015-08-28 |
| 1366818767 | Hoai Albert Bui Jr. | Acupuncturist | 9561 Bolsa Ave, Westminster, CA 92683 | 2015-08-19 |
| 1245606698 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 8341 Westminster Blvd., Ste. 202, Westminster, CA 92683 | 2015-08-19 |
| Find all providers in zip 92683 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835507 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 12000 Pecos St Ste 250, Westminster, CO 80234-3491 | 2020-06-10 |
| 1164968905 | Mischa Fincher | Specialist | 13648 Orchard Pkwy Unit 700, Westminster, CO 80023-9207 | 2017-01-18 |
| 1619429222 | Britt Burr | Specialist | 414 Poole Rd, Apt. C1, Westminster, MD 21157-6065 | 2016-10-30 |
| 1770902876 | Lisa Lorenzen | Specialist | 12172 Melody Drive, Westminster, CO 80234 | 2014-04-16 |
| 1649698051 | Tanya Lea Stemmerman | Specialist | 14350 Osage St, Westminster, CO 80023-8443 | 2014-04-02 |
| 1376970715 | Christine Rose Williams | Specialist | 1830 W 135th Ave, Westminster, CO 80234-1057 | 2013-09-30 |
| 1871866608 | Shin Young Kim | Specialist | 7171 Trask Ave, Westminster, CA 92683-2671 | 2012-02-09 |
| 1639448731 | Victor Escolar-chua | Specialist | 5225 Saint George Rd, Westminster, CA 92683-4146 | 2011-12-19 |
| 1760765754 | Venus Health Inc | Specialist | 15496 Magnolia St Ste 200, Westminster, CA 92683-6407 | 2011-09-26 |
| 1255657896 | Timothy Newton | Specialist | 3301 Ridge Road, Westminster, MD 21157 | 2010-04-07 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 92683 |
Please comment or provide details below to improve the information on DR. GARY P JACOBS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.