Gretchen H. Jacobson, MD, a Professional Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G63450 Issued in CA

Legal business name

GRETCHEN H. JACOBSON, MD, A PROFESSIONAL CORPORATION

Practice address

1700 N Rose Ave
#250
Oxnard, CA 93030-3790

Phone

(805) 983-1700

Fax

(805) 983-7144

NPI assigned

Feb 6, 2007

Last updated

Jun 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Desiree Morelli

Title

Office Manager

Phone

(805) 983-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cary David Alberstone, MD

  • Neurological Surgery Physician
  • Oxnard, CA
  • NPI 1346253689
  NPD (past)
• Maura N Mitrushina, PH.D.

  • Clinical Psychologist
  • Westlake Village, CA
  • NPI 1891993861
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1083753776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE STE 250",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307626",
            "telephone_number": "805-983-1700",
            "fax_number": "805-983-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE",
            "address_2": "#250",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303790",
            "telephone_number": "805-983-1700",
            "fax_number": "805-983-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETCHEN H. JACOBSON, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "MORELLI",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-983-1700"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G63450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G634500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Stephen Green, M.D.
• Susanne Munandi Green, RN, PHN
• Daniel Greenberg, M.D.
• Barbara J Greene, COM
• Sherri Beth Greif, F.N.P.
• Harvinder Singh Grewal, PHARM.D.
• Renu Grewal, PHARMD
• Joan Marie Griffin, MFT
• Pamela Courtney Grik, RAC
• Dorothy M Grimes, RN

• Neurological Surgery Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.