MARK JACOBS (NPI# 1497799282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497799282 |
| Entity Type | Individual |
| Full Name | MARK JACOBS |
| Credential | M.D. |
| Practice Address |
72780 Country Club Dr Suite B-203 Rancho Mirage CA 92270-4126 |
| Practice Telephone | 7606743847 |
| Mailing Telephone | 7606743847 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A38372 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598101289 | Mark Jacobs | Pharmacist | 736 Elm, Winnetka, IL 60093-2506 | 2013-05-21 |
| 1497889570 | Mark L Jacobs | Chiropractor | 24825 Northern Blvd, Little Neck, NY 11362-1280 | 2007-03-14 |
| 1346311560 | Mark S Jacobs | Dentist | 802 N Broadway, Melrose Park, IL 60160-3726 | 2006-11-10 |
| 1598770273 | Mark J Jacobs | Dentist | 16824 Newburgh Rd, Livonia, MI 48154-1600 | 2006-07-30 |
| 1457392466 | Mark Edward Jacobs | Optometrist | 507 Greenville Blvd Se, Greenville, NC 27858-6756 | 2006-06-09 |
| 1679533186 | Mark Matthew Jacobs | Obstetrics & Gynecology | 3553 Whipple Road, San Leandro, CA 94587-1507 | 2006-03-27 |
| 1487638409 | Mark I Jacobs | Internal Medicine | 73 Corporate Dr Ste 101, Portsmouth, NH 03801-2847 | 2005-12-02 |
| 1124013883 | Mark D. Jacobs | Internal Medicine | 100 2nd Ave, Needham, MA 02494-2809 | 2005-09-19 |
| 1295737617 | Mark Steven Jacobs | Psychiatry & Neurology | 4888 Loop Central Dr, Suite 510, Houston, TX 77081-2214 | 2005-08-15 |
| 1124023809 | Mark A Jacobs | Optometrist | 3810 S Highway 27, Suite 1, Somerset, KY 42501-3073 | 2005-06-17 |
| Street Address |
72780 COUNTRY CLUB DR SUITE B-203 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721308 | Shahin Etebar | Neurological Surgery | 72780 Country Club Dr, Suite A104, Rancho Mirage, CA 92270-4126 | 2005-06-22 |
| 1811343304 | Shailaja Karanti | Pharmacist | 72780 Country Club Dr, Ste # 403, Rancho Mirage, CA 92270-4126 | 2016-05-13 |
| 1275995193 | Leyra Teresa Pelicano-goers | Nurse Practitioner | 72780 Country Club Dr, Suite 100, Rancho Mirage, CA 92270-4126 | 2016-03-22 |
| 1023482577 | Lora Murphy | Physical Therapy Assistant | 72780 Country Club Dr, #c-300, Rancho Mirage, CA 92270-4126 | 2015-11-20 |
| 1780081935 | Deborah R. Wondoloski | Nurse Practitioner | 72780 Country Club Dr, Suite A-104, Rancho Mirage, CA 92270-4126 | 2014-12-03 |
| 1356751689 | Mirage Pain and Rehabilitation Associates A Medical Group Inc | Durable Medical Equipment & Medical Supplies | 72780 Country Club Dr, Suite C300, Rancho Mirage, CA 92270-4126 | 2014-05-08 |
| 1053662924 | William Christopher Sullivan | Physician Assistant | 72780 Country Club Dr, Bldg B 203, Rancho Mirage, CA 92270-4126 | 2012-10-01 |
| 1932457173 | Gregory Reid Lancaster | Physician Assistant | 72780 Country Club Dr, Suite B203, Rancho Mirage, CA 92270-4126 | 2012-08-20 |
| 1336407964 | Ricardo G Cacdac Md A Professional Corp | Colon & Rectal Surgery | 72780 Country Club Dr, Suite C306, Rancho Mirage, CA 92270-4126 | 2012-05-02 |
| 1598038937 | Desert Spine and Neurosurgical Institute, Inc | Neurological Surgery | 72780 Country Club Dr, Suite A104, Rancho Mirage, CA 92270-4126 | 2012-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174090021 | Dr Marupuru A Professional Corporation | Family Medicine | 35400 Bob Hope Dr Ste 212, Rancho Mirage, CA 92270-1774 | 2018-10-30 |
| 1710408703 | Harry Haroutunian Md A Professional Corp | Family Medicine | 41750 Rancho Las Palmas Dr Ste B1, Rancho Mirage, CA 92270-5512 | 2017-06-29 |
| 1639522006 | Silas Gyimah | Family Medicine | 3900 Bob Hope Dr., Gme, Achs, 2nd Floor., Rancho Mirage, CA 92270 | 2016-07-20 |
| 1457424004 | Caesar Octavius Julian | Family Medicine | 39695 Keenan Dr, Rancho Mirage, CA 92270-3608 | 2006-11-15 |
| 1457385643 | David W Zahaluk | Family Medicine | 72780 Country Club Drive, Building B, Suite 203, Rancho Mirage, CA 92270 | 2006-07-11 |
| 1720011166 | Rancho Mirage Family Group Inc A Medical Corporation | Family Medicine | 39300 Bob Hope Drive, Bannan Bldg., Ste, 1105, Rancho Mirage, CA 92270-3203 | 2006-07-09 |
| 1689624652 | Dan L Andrus | Family Medicine | 72780 Country Club Dr Ste 203, Rancho Mirage, CA 92270-4150 | 2006-05-11 |
| 1487629564 | Arvinder Singh Bir | Family Medicine | 35400 Bob Hope Dr Ste 203, Rancho Mirage, CA 92270-1774 | 2006-02-21 |
| 1982695466 | Hyman David Sacks | Family Medicine | 37910 Los Cocos Dr E, Rancho Mirage, CA 92270-2111 | 2005-11-02 |
| 1407851777 | Nina Khin Maw Maw | Family Medicine | 35900 Bob Hope Dr Ste 230, Rancho Mirage, CA 92270-1767 | 2005-06-14 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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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.