Jacome Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

A44682 Issued in CA

Legal business name

JACOME MEDICAL GROUP

Practice address

72780 Country Club Dr
Suite D403
Rancho Mirage, CA 92270-4126

Phone

(760) 773-2616

Fax

(760) 773-5797

NPI assigned

Aug 10, 2011

Last updated

Aug 10, 2011By 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

Dr. Enrique G Jacome, MDNPI 1942300942

Title

President

Phone

(760) 773-2616

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Enrique G Jacome, MD

  • Obstetrics & Gynecology Physician
  • Rancho Mirage, CA
  • NPI 1942300942
  Authorized official Same address or phone

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1104105071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "SUITE D403",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-773-2616",
            "fax_number": "760-773-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "SUITE D403",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-773-2616",
            "fax_number": "760-773-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOME MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "JACOME",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-773-2616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A44682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J.Bruce Jacobs, M.D., Inc. (Desert CT MRI)
• J.Herndons, LLC (Addiction Therapeutic Services)
• Parnian Jabbari
• Gloria Laura Jackson, DO
• John David Jacobson, M.D
• Enrique G Jacome, MD
• Christina Melina Jaeger, FNP - BC
• Jaehoon Lee Optometry Corp
• James L Merson M.D., Inc
• Alice King Janik, L.M.F.T.

• Specialist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.