Jacob Daniel Hattenbach, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

20A22622 Issued in CA

Practice address

2021 Santa Monica Blvd Ste 200E
Santa Monica, CA 90404-2136

Phone

(323) 709-3657

Fax

(310) 496-7277

NPI assigned

Mar 23, 2019

Last updated

Sep 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI, CA2 enrollments

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 2

Specialty

Physical Medicine and Rehabilitation

Education

College of Osteo Med of the Pacific at Pomona, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sharwin Tafazoli IncGroup PAC ID 8729416953, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacob Hattenbach DO Inc

  • Physical Medicine & Rehabilitation Physician
  • Santa Monica, CA
  • NPI 1750277067
  Medicare reassignment NPD Authorized official
• Sharwin Tafazoli Inc

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
  • NPI 1447806278

  CA

  Medicare reassignment Care Compare group NPD
• Regents of the University of Michigan

  • Internal Medicine Physician
  • Ann Arbor, MI
  • NPI 1205868353
  Medicare reassignment NPD
• Leia Rispoli MD, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Marina del Rey, CA
  • NPI 1164183331
  Medicare reassignment
• Regents of the University of Michigan

  • Physical Medicine & Rehabilitation Physician
  • Ann Arbor, MI
  • NPI 1790719532
  NPD
• Regents of the University of Michigan

  • Specialty Pharmacy
  • Dexter, MI
  • NPI 1952181919
  NPD

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1184184244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 WILSHIRE BLVD # 144",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 200E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042136",
            "telephone_number": "323-709-3657",
            "fax_number": "310-496-7277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Ocean Park Blvd # 1003",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904052905",
            "country_code": "US",
            "telephone_number": "323-709-3657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3828 Delmas Ter",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902322713",
            "country_code": "US",
            "telephone_number": "310-836-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12021 Wilshire Blvd # 144",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900251206",
            "country_code": "US",
            "telephone_number": "323-709-3657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATTENBACH",
        "first_name": "JACOB",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "318847-A",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101027170",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "318847",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A22622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjacobhattenbach.com",
            "affiliation": "N",
            "address_1": "2021 Santa Monica Blvd Ste 200E",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jasman Hason, PA-C
• Dyan Haspel-Johnson, PH.D.
• Mahad Mohamed Hassan, M.D.
• Henry K Hasserjian, M.D.
• Nicolas Hatamiya, DO
• Alison Beth Hatter, MFT
• Teresa Marie Hausenbauer, RD
• Alana Jaclyn Haussmann, MD
• Yoram M Haviv, M.D.
• Sandra Hawa

• Physical Medicine & Rehabilitation Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.
• 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.