Cynthia A Jacobson, CRNA, MS

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

847 Issued in CA

Practice address

351 Rolling Oaks Rd
Suite 101
Thousand Oaks, CA 91361

Phone

(805) 497-1105

Fax

(805) 497-6144

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Cynthia Jacobson Health and Wellness Inc

  • Certified Registered Nurse Anesthetist
  • Thousand Oaks, CA
  • NPI 1356112544

  Nurse Anesthetist, Certified Registered

  NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1164552618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CORRIENTE CT",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101607",
            "telephone_number": "805-444-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 ROLLING OAKS RD",
            "address_2": "SUITE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-497-1105",
            "fax_number": "805-497-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "CRNA, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONEJO ANESTHESIA",
            "identifier": "W15143",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Jacinto
• Jack C Chang, DDS Inc
• Jack Shenouda MD Corp
• Jacob & Henein a Medical Corporation
• Christina N Jacob, M.D.
• Daryoush Jadali, M.D.
• Jaesung Lee
• Sharon Shahnaz Jafari, NP
• Denise Ann Jaffe, NP
• Jessica Jaffe, D.C.

• Certified Registered Nurse Anesthetist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.