Individual provider Active NPI

Lester B. Jacobson, M.D.

  • Cardiovascular Disease Physician
  • San Francisco, CA
National Provider Identifier
1023192101
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G15026 Issued in CA
Practice address
2351 Clay St
Suite 513F
San Francisco, CA 94115-2382
Phone
(415) 923-3565
Fax
(415) 923-3564
NPI assigned
Oct 25, 2006
Last updated
Jun 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G15026 CA Primary

Addresses

Primary practice location

2351 Clay St
Suite 513F
San Francisco, CA 94115-2382

Mailing address

2351 Clay St
Suite 513F
San Francisco, CA 94115-2382
Phone (415) 923-3565

Other identifiers 1

IdentifierTypeStateIssuer
0714817MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090204000354 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113081274 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2351 Clay St
513F
San Francisco, CA 94115-1931
Phone (415) 923-3565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G15026CAMDCardiovascular Disease Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1023192101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 CLAY ST",
            "address_2": "SUITE 513F",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152382",
            "telephone_number": "415-923-3565",
            "fax_number": "415-923-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 CLAY ST",
            "address_2": "SUITE 513F",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152382",
            "telephone_number": "415-923-3565",
            "fax_number": "415-923-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "LESTER",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G15026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0714817",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.