Jacob R Adams DO Inc

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

JACOB R ADAMS DO INC

Practice address

180 Rowland Way
Novato, CA 94945-5009

Phone

(209) 956-7725

NPI assigned

May 3, 2016

Organization subpart

No

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

Authorized official

Name

Jacob R Adams, DONPI 1558595090

Title

Owner

Phone

(209) 956-7725

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Richard Adams, DO

  • Critical Care Medicine (Internal Medicine) Physician
  • Novato, CA
  • NPI 1558595090
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1053766493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CLOUD VIEW TRL",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652061",
            "telephone_number": "209-956-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ROWLAND WAY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455009",
            "telephone_number": "209-956-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB R ADAMS DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-956-7725",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Idzior, PHARMD
• Sikander Isshak, R.PH
• Harold Haruo Itokazu Jr., D.D.S., L. AC.
• J. Timothy Murphy, MD
• Sarah Jack
• Moses Jacob, DC
• Deborah Jacobs, P.T.
• Neha Jain
• Lora James, DPT
• Jasmine Huanjing Chen O.D. a Professional Corporation

• Critical Care Medicine (Internal Medicine) Physician in Novato, CA
• Providers in Novato, CA by specialty
• Critical Care Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.