Gary P Jacobs, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A42016 Issued in CA

Practice address

14560 Magnolia St Ste 101
Westminster, CA 92683-4791

Phone

(714) 889-7041

NPI assigned

Dec 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Tree Community Health Center IncGroup PAC ID 3274976170, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fast Response Home Health Inc Home health agency, Van Nuys, CA, CCN 757461
• Gasa Home Health Care Inc Home health agency, Van Nuys, CA, CCN 559530

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Tree Community Health Center, Inc.

  • Community Health Clinic/Center
  • Van Nuys, CA
  • NPI 1386413888
  Medicare reassignment Care Compare group NPD
• U.S. Healthworks Medical Group, PC

  • Urgent Care Clinic/Center
  • Valencia, CA
  • NPI 1316927338
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gasa Home Health Care Inc

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1174018535
  Care Compare affiliation Name & address match
• Fast Response Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1902579402
  Care Compare affiliation

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073681623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 GURNARD AVE",
            "address_2": "SAN PEDRO",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324716",
            "telephone_number": "310-386-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14560 MAGNOLIA ST STE 101",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834791",
            "telephone_number": "714-889-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "GARY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A42016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jaclyn Jarrard, M.A.

• Specialist in Westminster, CA
• Providers in Westminster, CA by specialty
• Specialist in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.