Active NPI
Brilyn Jacobsen Medical Practitioner Inc
- Family Medicine Physician
- Clovis, CA
National Provider Identifier
1073470621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BRILYN JACOBSEN MEDICAL PRACTITIONER INC
- Practice address
- 724 Pollasky Ave BLDG 1/2
Clovis, CA 93612-1840 - Phone
- (559) 207-3924
- NPI assigned
- Jan 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brilyn Jacobsen, NP
- Title
- Owner
- Phone
- (747) 214-4399
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
724 Pollasky Ave BLDG 1/2
Clovis, CA 93612-1840
Mailing address
724 Pollasky Ave BLDG 1/2
Clovis, CA 93612-1840
Phone (559) 207-3924
National Provider Directory
National Provider DirectoryLocations
724 Pollasky Ave
Bldg 12
Clovis, CA 93612
Phone (559) 207-3924
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767657600000",
"number": "1073470621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 POLLASKY AVE BLDG 1/2",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936121840",
"telephone_number": "559-207-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 POLLASKY AVE BLDG 1/2",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936121840",
"telephone_number": "559-207-3924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRILYN JACOBSEN MEDICAL PRACTITIONER INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-06",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A",
"authorized_official_last_name": "JACOBSEN",
"authorized_official_first_name": "BRILYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "747-214-4399",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.