Active NPI
Janet Carol Jacobson, MD
- Obstetrics & Gynecology Physician
- Orange, CA
National Provider Identifier
1164578795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A126260
- Practice address
- 700 S Tustin St
Orange, CA 92866-3425 - Phone
- (714) 922-4100
- Fax
- (714) 633-4303
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 7572249-1205 | UT | |
| Obstetrics & Gynecology Physician | 207V00000X | A126260 | CA | Primary |
Addresses
Primary practice location
700 S Tustin St
Orange, CA 92866-3425
Mailing address
700 S Tustin St
Orange, CA 92866-3425
Phone (714) 922-4100
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126260 | CA | MD | Obstetrics & Gynecology Physician |
| 7572249-1205 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Obstetrics & Gynecology | Current | Accepting new patients |
| University of California Irvine | Current | Accepting new patients | |
| University of California Irvine | Current | Accepting new patients | |
| Planned Parenthood/Orange and San Bernardino Counties, Inc. | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Planned Parenthood/Orange and San Bernardino Counties, Inc. | Past | Accepting new patients |
Locations
300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
700 S Tustin St
Orange, CA 92866
Phone (714) 633-4550
800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324
Organizations & group practices 6
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.
-
- Obstetrics & Gynecology Physician
- Orange, CA
- NPI 1356304034
-
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1598790529
-
- Pharmacy
- Irvine, CA
- NPI 1669344339
-
- Clinic/Center
- Westminster, CA
- NPI 1316916836
-
- Clinic/Center
- Anaheim, CA
- NPI 1710975727
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1164578795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928663425",
"telephone_number": "714-922-4100",
"fax_number": "714-633-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928663425",
"telephone_number": "714-922-4100",
"fax_number": "714-633-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "JANET",
"middle_name": "CAROL",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "7572249-1205",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A126260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.