Roland W. Jacobs, MD, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G43460 Issued in CA

Legal business name

ROLAND W. JACOBS, MD, PC

Practice address

1127 Rosario Dr
Topanga, CA 90290-3631

Phone

(505) 770-7892

Fax

(505) 776-3827

NPI assigned

Aug 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roland William Jacobs, M.D.

Title

President

Phone

(505) 770-7892

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043229800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "ARROYO SECO",
            "state": "NM",
            "postal_code": "875140459",
            "telephone_number": "505-770-7892",
            "fax_number": "505-776-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 ROSARIO DR",
            "city": "TOPANGA",
            "state": "CA",
            "postal_code": "902903631",
            "telephone_number": "505-770-7892",
            "fax_number": "505-776-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLAND W. JACOBS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-770-7892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G43460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Marie Pauly, LCSW
• John Pietrzak, PSY.D.
• Andrea Maria Floren Polard, PSYD
• Asya Rachitsky, LMFT
• Marc Erin Reznikoff, A.C.
• Ashana Ross
• Douglas Pendleton Roy, M.D.
• Valerie Rutka
• Dina L Schultz, NP
• Ronald Marc Sharrin, PHD

• Psychiatry Physician in Topanga, CA
• Providers in Topanga, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.