Individual provider Active NPI

Vanessa Louise Jacoby, MD

  • Obstetrics & Gynecology Physician
  • San Francisco, CA
National Provider Identifier
1154363778
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A83634 Issued in CA
Practice address
1001 Potrero Ave
RM 6D14
San Francisco, CA 94110-3518
Phone
(415) 206-5679
Fax
(415) 206-3112
NPI assigned
Jun 11, 2006
Last updated
May 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A83634 CA Primary

Addresses

Primary practice location

1001 Potrero Ave
RM 6D14
San Francisco, CA 94110-3518

Mailing address

PO Box 7464
San Francisco, CA 94120-7464
Phone (415) 885-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080107000533 CA Practitioner - Obstetrics/Gynecology 1153401971 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A83634CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Dec 11, 2011 Accepting new patients
University of California San Francisco Obstetrics & Gynecology CurrentSince Jul 9, 2007 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 9, 2007 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group Obstetrics & Gynecology CurrentSince Dec 11, 2011 Accepting new patients
UCSF Medical Group Business Services Obstetrics & Gynecology CurrentSince Jul 9, 2007 Accepting new patients
University of California San Francisco CurrentSince Jul 9, 2007 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
Rm 6D14
San Francisco, CA 94110
Phone (415) 206-5679

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

2356 Sutter St
San Francisco, CA 94115

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Interoperability endpoints

  • Direct secure messaging: vjacoby10624@direct-ucsfmedicalcenter.org

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1154363778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7464",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207464",
            "telephone_number": "415-885-7788",
            "fax_number": "415-206-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "RM 6D14",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-5679",
            "fax_number": "415-206-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "VANESSA",
        "middle_name": "LOUISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A83634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.