Active NPI
Vicki Lynn Jobe, D.C.
- Chiropractor
- Oakland, CA
National Provider Identifier
1104816495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 19855
- Practice address
- 5655 Colbourn PL
Oakland, CA 94619-3508 - Phone
- (510) 268-8775
- Fax
- (510) 531-5890
- NPI assigned
- Oct 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 19855 | CA | Primary |
| Registered Respiratory Therapist | 227900000X | 00002332 | CA |
Addresses
Primary practice location
5655 Colbourn PL
Oakland, CA 94619-3508
Mailing address
5655 Colbourn PL
Oakland, CA 94619-3508
Phone (510) 268-8775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19855 | CA | MD | Chiropractor |
| 00002332 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1104816495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5655 COLBOURN PL",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946193508",
"telephone_number": "510-268-8775",
"fax_number": "510-531-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5655 COLBOURN PL",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946193508",
"telephone_number": "510-268-8775",
"fax_number": "510-531-5890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOBE",
"first_name": "VICKI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "19855",
"primary": true
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "CA",
"license": "00002332",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.