Melchor Jacob, NP/PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-18339 Issued in CA

Practice address

2501 G St
Bakersfield, CA 93301-2811

Phone

(661) 327-2225

Fax

(661) 322-8414

NPI assigned

Jan 21, 2009

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Centric Health

  • Cardiovascular Disease Physician
  • Bakersfield, CA
  • NPI 1831248236
  Medicare reassignment NPD (past)
• The Industrial Medical Group

  • Specialist
  • Bakersfield, CA
  • NPI 1346427929
  NPD (past)
• William F Baker Jr MD Inc

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1376757591
  NPD (past)

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1194962605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 G ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012811",
            "telephone_number": "661-327-2225",
            "fax_number": "661-322-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 G ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012811",
            "telephone_number": "661-327-2225",
            "fax_number": "661-322-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "MELCHOR",
        "name_prefix": "Mr.",
        "credential": "NP/PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA-18339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Lorraine Jackson, PSY.D.
• Rand Lee Jackson, D.C
• Raynell Marie Jackson
• Trevor Jackson
• Jessy Jacob, MD
• Nancy Supan Jacob, FNP-C
• Jacobo Physical Therapy, Inc.
• Jacobo Physical Therapy, Inc.
• Eilen Jacobo Ruiz, ASW
• Graciela Christine Jacobo, R.P.T.

• Physician Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.

Verify at the official NPI Registry.