Active NPI
Sheila Lynne Barron-Jacobs, D.D.S.
- General Practice Dentistry
- San Pedro, CA
National Provider Identifier
1063413490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28902
- Practice address
- 737 W 9TH St
San Pedro, CA 90731-3639 - Phone
- (310) 833-5367
- Fax
- (310) 833-6112
- NPI assigned
- Aug 9, 2005
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28902 | CA | Primary |
Addresses
Primary practice location
737 W 9TH St
San Pedro, CA 90731-3639
Mailing address
5027 Asteria St
Torrance, CA 90503-2711
Phone (310) 214-2393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063413490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5027 ASTERIA ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905032711",
"telephone_number": "310-214-2393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 W 9TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313639",
"telephone_number": "310-833-5367",
"fax_number": "310-833-6112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRON-JACOBS",
"first_name": "SHEILA",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "28902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.