MS. RANDY F. JACOBSON (NPI# 1770527939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770527939 |
| Entity Type | Individual |
| Full Name | MS. RANDY F. JACOBSON |
| Credential | P.T. |
| Practice Address |
2901 Wilshire Blvd Suite 319 Santa Monica CA 90403-4901 |
| Practice Telephone | 3105821190 |
| Practice Fax Number | 3105821165 |
| Mailing Telephone | 3105821190 |
| Mailing Fax Number | 3105821165 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT9831 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2901 WILSHIRE BLVD SUITE 319 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760476394 | Elizabeth Galton | Psychiatry & Neurology | 2901 Wilshire Blvd, 421, Santa Monica, CA 90403-4901 | 2005-09-09 |
| 1487159414 | Julie Chao | Optometrist | 2901 Wilshire Blvd, Santa Monica, CA 90403-4901 | 2018-03-30 |
| 1437607504 | Kathryn Guy | Specialist | 2901 Wilshire Blvd, Santa Monica, CA 90403-4901 | 2016-09-16 |
| 1982064481 | Steven M Kastenbaum Od Phd Professional Optometric Corporation | Clinic/Center | 2901 Wilshire Blvd, Suite 100, Santa Monica, CA 90403-4901 | 2016-02-26 |
| 1699143891 | Ricardo Raschkovsky, Dds, Ms, Inc | Dentist | 2901 Wilshire Blvd, Suite 405, Santa Monica, CA 90403-4901 | 2015-09-04 |
| 1073952891 | Kathleen E Poncher | Acupuncturist | 2901 Wilshire Blvd, Suite 233, Santa Monica, CA 90403-4901 | 2013-06-14 |
| 1518300458 | Elham Farahmand | Dentist | 2901 Wilshire Blvd, Suite 221, Santa Monica, CA 90403-4901 | 2013-04-10 |
| 1982959870 | Rhea E Deal | Physical Therapist | 2901 Wilshire Blvd, 440, Santa Monica, CA 90403-4901 | 2012-07-17 |
| 1053683508 | Inner Images, Inc. | Radiologic Technologist | 2901 Wilshire Blvd, Suite 319, Santa Monica, CA 90403-4901 | 2012-01-30 |
| 1396015822 | Brigitta Mercedes De Czito | Dentist | 2901 Wilshire Blvd, Suite 225, Santa Monica, CA 90403-4901 | 2011-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922387026 | Pt N' Play, LLC | Physical Therapist | 1932 14th St, Santa Monica, CA 90404-4605 | 2011-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745233 | Tejal Shah Chokshi | Physical Therapist | 7425 La Mantanza, San Diego, CA 92127-3636 | 2020-09-16 |
| 1487277992 | Katherine Anne Zweier | Physical Therapist | 4646 Van Dyke Ave, San Diego, CA 92116-4842 | 2020-05-19 |
| 1184246621 | Achieving Milestones Pediatric Therapy, Inc | Physical Therapist | 221 E Glenoaks Blvd # 225a, Glendale, CA 91207-2085 | 2020-05-07 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1215585690 | Maggie Christine Ridenhour | Physical Therapist | 1541 Old Bayshore Hwy, Burlingame, CA 94010-1602 | 2019-08-29 |
| 1477100162 | Fasia Ramirez | Physical Therapist | 35510 Schuber Ln, Temecula, CA 92592-8125 | 2019-08-19 |
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1649836669 | Karin Stohn | Physical Therapist | 100 Mcgivern Way, Santa Cruz, CA 95060-9300 | 2019-05-15 |
| 1376108597 | Karen Dzierski Cruise | Physical Therapist | 10860 Topanga Canyon Blvd, Chatsworth, CA 91311-1350 | 2019-05-02 |
| 1326511064 | Lissett Rojas | Physical Therapist | 855 N Lark Ellen Ave Ste L, West Covina, CA 91791-1099 | 2019-01-04 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
Please comment or provide details below to improve the information on MS. RANDY F. JACOBSON.
| 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.