REZA JACOB (NPI# 1407084908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407084908 |
| Entity Type | Individual |
| Full Name | REZA JACOB |
| Credential | M.D. |
| Practice Address |
10820 N Torrey Pines Rd La Jolla CA 92037-1036 |
| Mailing Address |
10790 Rancho Bernardo Rd San Diego CA 92127-5705 |
| Practice Telephone | 8585548645 |
| Mailing Telephone | (858) 554-8645 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2017-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A118826 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
10820 N TORREY PINES RD |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396720082 | Scripps Clinic Medical Group | Clinic/Center | 10820 N Torrey Pines Rd, La Jolla, CA 92037-1036 | 2005-12-14 |
| 1033435383 | Sarah Dalhoumi | Internal Medicine | 10820 N Torrey Pines Rd, La Jolla, CA 92037-1036 | 2010-04-12 |
| 1891961264 | Andrea N Ogden | Dietitian, Registered | 10820 N Torrey Pines Rd, La Jolla, CA 92037-1036 | 2008-05-05 |
| 1720276751 | Christopher J Suhar | Internal Medicine | 10820 N Torrey Pines Rd, La Jolla, CA 92037-1036 | 2007-10-03 |
| 1427111079 | Cathy-ann H. Garvey | Dietitian, Registered | 10820 N Torrey Pines Rd, La Jolla, CA 92037-1036 | 2006-12-18 |
| 1790870749 | Melody A. Francis | Nurse Practitioner | 10820 N Torrey Pines Rd, La Jolla, CA 92037-1036 | 2006-10-04 |
| 1588764443 | Norma Flood | Dietitian, Registered | 10820 N Torrey Pines Rd, La Jolla, CA 92037-1036 | 2006-09-22 |
| 1821198771 | Christine M. Cole | Nurse Practitioner | 10820 N Torrey Pines Rd, La Jolla, CA 92037-1036 | 2006-09-22 |
| 1437269990 | Somharn M. Saekow | Dermatology | 10820 N Torrey Pines Rd, La Jolla, CA 92037-1036 | 2006-08-30 |
| 1376584540 | Robert A. Bonakdar | Family Medicine | 10820 N Torrey Pines Rd, La Jolla, CA 92037 | 2006-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386087617 | Megan M. Brown | Dermatology | 9898 Genesee - Anderson Medical Pavilion 500, La Jolla, CA 92037 | 2013-04-17 |
| 1306103924 | Robert Anthony Dorschner | Dermatology | Ucsd Division of Dermatology, 8899 University Center Lane, Ste 350, La Jolla, CA 92093-0001 | 2012-04-19 |
| 1588989487 | Alvin Bob Coda | Dermatology | 10820 N Torrey Pines Rd # Ms 128, La Jolla, CA 92037-1036 | 2010-04-02 |
| 1881929925 | Hulya Julie Omran | Dermatology | 9850 Genesee Ave Ste 460, La Jolla, CA 92037-1228 | 2009-10-07 |
| 1639337181 | Vineet Mishra | Dermatology | 10666 N Torrey Pines Rd # Ms 112a, La Jolla, CA 92037 | 2008-05-30 |
| 1538346911 | Michael Shane Hamman | Dermatology | 7300 Girard Ave Ste 202, La Jolla, CA 92037-5138 | 2008-01-28 |
| 1497849418 | Arjang K Miremadi | Dermatology | 7702 Ivanhoe Ave, La Jolla, CA 92037-4520 | 2006-10-03 |
| 1518064641 | Alyssa A Nash Goelitz | Dermatology | 9850 Genesee Avenue Suite 850, La Jolla, CA 92037 | 2006-09-20 |
| 1184656290 | Susan P Detwiler | Dermatology | 7110 Caminito Pepino, La Jolla, CA 92037-5721 | 2006-07-07 |
| 1760473664 | Mary Mignonette Dobry | Dermatology | 4130 La Jolla Village Dr, #207, La Jolla, CA 92037 | 2005-10-31 |
| Find all providers in LA JOLLA | ||||
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| 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.