Jacqueline Natalie Jacobo

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

134140 Issued in CA

Practice address

1420 Kettner Blvd Ste 334
San Diego, CA 92101-2421

Phone

(858) 617-8862

NPI assigned

Sep 26, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1114706306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14286 SQUIRREL LN",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923947436",
            "telephone_number": "760-713-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 KETTNER BLVD STE 334",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012421",
            "telephone_number": "858-617-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBO",
        "first_name": "JACQUELINE",
        "middle_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B Jacob, D.D.S.
• Simon Jacob
• Tamra Jacob, RN
• Jacobi Medical Center
• Emily Jacobo
• Jeanette E Jacobo
• Mia Jacobo
• Monica Jacobo
• Veronica Maria Jacobo, RN
• Casey Robert Jacobs, IDC

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.