DR. LISA JACOBS (NPI# 1376937367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376937367 |
| Entity Type | Individual |
| Full Name | DR. LISA JACOBS |
| Credential | M.D. |
| Practice Address |
17100 Euclid Street, Picu Fountain Valley CA 92708 |
| Mailing Address |
757 Westwood Plaza, B711 Rrumc Los Angeles CA 90095-7419 |
| Practice Telephone | 7149667253 |
| Practice Fax Number | 7149663354 |
| Mailing Telephone | 3102679129 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A149687 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225351042 | Lisa Ann Jacobs | General Practice | 251 Sunset Rd., Fitzwilliam, NH 03447 | 2010-03-08 |
| 1932679552 | Lisa Jacobs | Speech-Language Pathologist | 2644 Riva Rd, Annapolis, MD 21401-7427 | 2018-11-26 |
| 1134598428 | Lisa Jacobs | Pharmacist | 500 University Dr, Mail Code Ch80, Hershey, PA 17033-2360 | 2015-09-17 |
| 1316366347 | Lisa Jacobs | Student in an Organized Health Care Education/Training Program | 3535 Market St, Second Floor, Philadelphia, PA 19104-3309 | 2014-04-07 |
| 1316209232 | Lisa J Jacobs | Dental Hygienist | 52 Christian Ridge Rd, Ellsworth, ME 04605 | 2012-06-15 |
| 1407003288 | Lisa A Jacobs | Music Therapist | 500 Victory Rd, Quincy, MA 02171-3139 | 2008-08-22 |
| 1871758102 | Lisa Ellen Jacobs | Nurse Practitioner | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2008-07-25 |
| 1104958305 | Lisa Marion Jacobs | Psychologist | 55 Woodland Ave, Summit, NJ 07901-2112 | 2007-03-12 |
| 1184754368 | Lisa Jacobs | Physical Therapist | 524 Irving St Nw, Washington, DC 20010-2904 | 2007-03-06 |
| 1811063738 | Lisa Jacobs | Nurse Practitioner | 600 E 1st St, Spring Valley, IL 61362-1512 | 2006-11-24 |
| Street Address |
17100 EUCLID STREET, PICU |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932341641 | Anas Al Kawass | Pediatrics | 17100 Euclid Street, Picu, Fountain Valley, CA 92708 | 2009-03-26 |
| 1083976716 | Natalie H Darro | Pediatrics | 17100 Euclid Street, Picu, Fountain Valley, CA 92708 | 2012-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630227 | Edinger Pediatrics, Inc. | Pediatrics | 9900 Talbert Ave Ste 201, Fountain Valley, CA 92708-5153 | 2020-02-05 |
| 1548767890 | Monica Meilyn Boggs Molina | Pediatrics | 9900 Talbert Ave # 201, Fountain Valley, CA 92708-5153 | 2018-04-11 |
| 1629398862 | Thao Vo | Pediatrics | 10900 Warner Ave Ste 122, Fountain Valley, CA 92708 | 2010-06-10 |
| 1467643726 | Fountain Valley Office | Pediatrics | 11100 Warner Ave Ste 254, Fountain Valley, CA 92708-7502 | 2007-08-01 |
| 1164554846 | Maria Silvia Martinez-wikefeldt | Pediatrics | 18035 Brookhurst St Ste 2100, Fountain Valley, CA 92708-6738 | 2007-03-09 |
| 1689744328 | Andrew Pin-wei Ko | Pediatrics | 11100 Warner Ave Ste 262, Fountain Valley, CA 92708-7512 | 2006-11-09 |
| 1205835634 | Smita Bhargava Tandon | Pediatrics | 11100 Warner Ave Ste 368, Fountain Valley, CA 92708-7514 | 2005-07-18 |
| 1811991417 | Trina K. Austin | Pediatrics | 9930 Talbert Ave, Fountain Valley, CA 92708 | 2005-06-10 |
| 1174023477 | Vm Ped Medical Group | Pediatrics | 10900 Warner Ave Ste 122, Fountain Valley, CA 92708-3846 | 2018-02-14 |
| 1568992113 | Elizabeth Anne Trent Moroski | Pediatrics | 11100 Warner Ave Ste 368, Fountain Valley, CA 92708-7514 | 2017-06-15 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
Please comment or provide details below to improve the information on DR. LISA 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.