Organization Active NPI

James D. Jacobitz, M.D. Inc.

  • Dermatology Physician
  • San Francisco, CA
National Provider Identifier
1063686707
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G10697 Issued in CA
Legal business name
JAMES D. JACOBITZ, M.D. INC.
Practice address
190 Eucalyptus Dr
San Francisco, CA 94132-1629
Phone
(415) 337-3546
Fax
(415) 337-7547
NPI assigned
Apr 14, 2008
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Dr. James David Jacobitz, M.D.
Title
Doctor
Phone
(415) 337-7546

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G10697 CA Primary
Dermatopathology Physician 207ND0900X G10697 CA

Addresses

Primary practice location

190 Eucalyptus Dr
San Francisco, CA 94132-1629

Mailing address

190 Eucalyptus Dr
San Francisco, CA 94132-1629
Phone (415) 337-3546

Other identifiers 1

IdentifierTypeStateIssuer
00G106970OtherCAMEDICARE PT NUMBER

National Provider Directory

National Provider Directory

Locations

190 Eucalyptus Dr
San Francisco, CA 94132
Phone (415) 337-3546

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1063686707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 EUCALYPTUS DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321629",
            "telephone_number": "415-337-3546",
            "fax_number": "415-337-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 EUCALYPTUS DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321629",
            "telephone_number": "415-337-3546",
            "fax_number": "415-337-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D. JACOBITZ, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "JACOBITZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "415-337-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G10697",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G10697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PT NUMBER",
            "identifier": "00G106970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.