JACOB T STEPHENSON


Address: 2221 Stockton Blvd, Dept of Surgery, Cypress Bldg Room 3104, Sacramento, CA 95817
Phone: 9167343510

JACOB T STEPHENSON (NPI# 1265411979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265411979
Entity Type Individual
Full Name JACOB T STEPHENSON
Credential MD
Practice Address 2221 Stockton Blvd
Dept of Surgery, Cypress Bldg Room 3104
Sacramento
CA 95817
Practice Telephone 9167343510
Mailing Telephone 9167343510
Enumeration Date 2006-01-11
Last Update Date 2015-11-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0120X Surgery
Specialization: Pediatric Surgery
92264 CA Allopathic & Osteopathic Physicians

Other Providers JACOB STEPHENSON

NPI Name Taxonomy Address Enumeration
1811254345 Jacob Patrick Stephenson General Practice 2239 W Falconer Cir, Farmington, UT 84025-2905 2012-04-22

Office Location

Street Address 2221 STOCKTON BLVD
DEPT OF SURGERY, CYPRESS BLDG ROOM 3104
City SACRAMENTO
State CA
Zip Code 95817

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427041698 Regents of The Univ of Ca Surgery 2221 Stockton Blvd, Sacramento, CA 95817 2005-08-23
1770127334 Andrew Thompson Nurse Practitioner 2221 Stockton Blvd, Sacramento, CA 95817-1418 2019-11-06
1982187241 Kimberly C Sosik Physician Assistant 2221 Stockton Blvd, Sacramento, CA 95817-1418 2018-09-12
1285132175 Gerdy Mirline Pluviose Nurse Practitioner 2221 Stockton Blvd, Sacramento, CA 95817-1418 2018-01-25
1649704610 Dana Tam Kilday Nurse Practitioner 2221 Stockton Blvd, Sacramento, CA 95817-1418 2017-04-17
1912458860 Jenny Mccormack Nurse Practitioner 2221 Stockton Blvd, Sacramento, CA 95817-1418 2016-10-16
1013367135 Amir Sarkeshik Student in an Organized Health Care Education/Training Program 2221 Stockton Blvd, Sacramento, CA 95817-1418 2016-06-20
1134593783 Allison Shuken Nurse Practitioner 2221 Stockton Blvd, Sacramento, CA 95817-1418 2015-11-19
1801277751 Sean James Judge Student in an Organized Health Care Education/Training Program 2221 Stockton Blvd, Sacramento, CA 95817-1418 2015-06-17
1215329396 Bernadette Hystad Physician Assistant 2221 Stockton Blvd, 2112, Sacramento, CA 95817-1418 2015-02-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346855103 Quintin Kuse Student in an Organized Health Care Education/Training Program 4610 X Street, Sacramento, Sacramento, CA 95817 2020-09-09
1285259283 Uc Davis Health Dietitian, Registered 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 2020-06-15
1942840558 Michael Marchand-gareau Ophthalmology Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 2020-01-11
1467010728 Jiunn Liang Jonathan Yap Student in an Organized Health Care Education/Training Program 4860 Y Str, Ste. 2820, Sacramento, CA 95817 2019-06-03
1083176614 Kevin Lee Student in an Organized Health Care Education/Training Program 2315 Stockton Blvd, Op512, Sacramento, CA 95817 2019-04-02
1508326703 Ritika Johal Student in an Organized Health Care Education/Training Program 4150 V Street, Pssb 1200, Sacramento, CA 95817 2019-03-22
1811468838 Paige Palsgaard Behavior Technician 6730 4th Ave Apt 1731d, Sacramento, CA 95817 2018-12-17
1922503408 Marie Rossi Student in an Organized Health Care Education/Training Program 4150 V Street #1100, Sacramento, CA 95817 2018-03-27
1639673791 Sean Lam Student in an Organized Health Care Education/Training Program 4150 V Street #1200, Sacramento, CA 95817 2018-03-22
1124555388 Tatyana Polyak Surgery 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 2017-05-18
Find all providers in zip 95817

Taxonomy Information

Taxonomy Code 2086S0120X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Pediatric Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225298870 Payam Saadai Surgery 2221 Stockton Blvd, 3rd Floor, Uc Davis Medical Center, Sacramento, CA 95817-1418 2008-06-16
1396916524 Erin Brown Surgery 2425 Stockton Blvd Shriners Hospital for Children, Sacramento, CA 95817-2215 2008-03-15
1215929799 Clifford Marr Surgery 5275 F St, Ste 3, Sacramento, CA 95819-3225 2005-08-19
1265424865 Joy L Graf Surgery 5275 F Street, Suite 3, Sacramento, CA 95819 2005-08-19
1780911032 Naruhito Watanabe Surgery 5301 F Street, Suite 213, Sacramento, CA 95819 2009-11-06
1013101500 Rebecca Anne Stark Surgery 2521 Stockton Blvd, Ucdmc Glassrock Peds. Surgery - Suite 3200, Sacramento, CA 95817-2207 2007-08-28
1457478646 Shinjiro Hirose Surgery 3301 C Street, Uc Davis, Cannery Business Park, Sacramento, CA 95816 2007-03-23
1326139866 Lisa P Abramson Surgery 5275 F Street, Suite 3, Sacramento, CA 95819 2006-09-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629560149 Norcal Pediatric Surgical Partners Surgery 21c Orinda Way # 276, Orinda, CA 94563-2534 2018-05-31
1598137291 Pasadena Pediatric Surgery, Inc. Surgery 625 S Fair Oaks Ave Ste 286, Pasadena, CA 91105-2613 2015-10-21
1205121704 Bindi Naik-mathuria Surgery 7512 Hampton Ave, West Hollywood, CA 90046-5503 2011-06-13
1295053437 Ashley Walther Surgery 4650 W Sunset Blvd # Ms 100, Los Angeles, CA 90027 2010-05-12
1881918407 R V Daluvoy Md Inc Surgery 908 East Main St, Barstow, CA 92311-2406 2010-03-25
1215162607 James Pierce Surgery 9300 Valley Childrens Pl # Ge01, Madera, CA 93636-8761 2009-05-28
1790921641 Clinica Medica Del Valle, Inc. Surgery 52-565 Harrison Street, Suite 104, Coachella, CA 92236-1534 2008-12-24
1124203872 Children's Hospital Los Angeles Medical Group Surgery 4650 W Sunset Blvd # 72, Los Angeles, CA 90027-6062 2007-12-31
1699981688 Bruce Arthur Hanson Surgery 915 Wigeon Way, Arroyo Grande, CA 93420-5555 2007-05-15
1215050653 Doruk Ozgediz Surgery 550 16th St # 570, San Francisco, CA 94158-2545 2007-04-09
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Competitor

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City SACRAMENTO
Zip Code 95817

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Dataset Information

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.

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