Jacob Eapen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A521082 Issued in CA

Practice address

751 S Bascom Ave
Pediatrics Department
San Jose, CA 95128-2604

Phone

(408) 885-5000

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

General Practice

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jeapen10669@alamedahs.direct-ci.com

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

• Avalon Pediatrics, Inc.

  • Pediatrics Physician
  • Pismo Beach, CA
  • NPI 1386916138
  NPD (past)
• Sunshine Homecare and Hospice of Butte County

  • Community Based Hospice Care Agency
  • Paradise, CA
  • NPI 1487824264
  NPD (past)
• Yucca Valley Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Yucca Valley, CA
  • NPI 1518381367
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1104888072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43525 GALLEGOS AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395755",
            "telephone_number": "510-226-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "address_2": "PEDIATRICS DEPARTMENT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-885-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAPEN",
        "first_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A521082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A510820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Eads
• Sekhar Ujwala Eadula, M.D.
• Kathleen E Eagan, LCSW
• Lashonda Renea Eagels
• Ashley Eagle
• Ear Innovations
• Jenny Ear
• Eargo Hearing, Inc.
• Eargo, Inc.
• Uyen Xuan Earl, LMFT

• Pediatrics Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.