Individual provider Active NPI

Joshua Samuel Jacobs, MD

  • Allergy Physician
  • Walnut Creek, CA
National Provider Identifier
1215920673
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
G76901 Issued in CA
Practice address
370 N Wiget LN Ste 210
Walnut Creek, CA 94598-2452
Phone
(925) 935-6252
Fax
(925) 930-0942
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G76901 CA
Allergy Physician 207KA0200X G76901 CA Primary

Addresses

Primary practice location

370 N Wiget LN Ste 210
Walnut Creek, CA 94598-2452

Mailing address

370 N Wiget LN Ste 210
Walnut Creek, CA 94598-2452
Phone (925) 935-6252

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
I20110223000771 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 1052203775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Eastern Virginia Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and Asthma Medical Group of the Bay Area IncGroup PAC ID 6507758224, 20 clinicians

Practice addresses (Care Compare)

2305 Camino Ramon
Suite 225
San Ramon, CA 94583-1394
Phone (925) 327-1450

3010 Colby St
Suite 221
Berkeley, CA 94705-2056
Phone (510) 644-2316

350 John Muir Pkwy
Suite 180
Brentwood, CA 94513-5185
Phone (925) 513-3140

370 N Wiget LN
Suite 210
Walnut Creek, CA 94598-2452
Phone (925) 935-6252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
99.17
Promoting interoperability
98
Improvement activities
40
Cost
55.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76901CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
G76901CAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Medical Group of the Bay Area Inc Allergy & Immunology CurrentSince Oct 3, 1977 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
John Muir Health Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients

Locations

3010 Colby St
Ste 118
Berkeley, CA 94705
Phone (510) 486-0818

350 John Muir Pkwy
Ste 180
Brentwood, CA 94513
Phone (925) 513-3140

5860 Owens Dr
Ste 450
Pleasanton, CA 94588
Phone (925) 463-4900

5924 Stoneridge Dr
Ste 207
Pleasanton, CA 94588
Phone (925) 300-4680

2305 Camino Ramon
Ste 225
San Ramon, CA 94583
Phone (925) 327-1450

160 Glen Cove Marina Rd E
Ste 103
Vallejo, CA 94591
Phone (707) 638-5700

370 N Wiget Ln
Ste 210
Walnut Creek, CA 94598
Phone (925) 935-0856

130 La Casa Via
Ste 209
Walnut Creek, CA 94598
Phone (925) 935-6252

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jjacobs16526@ehr.johnmuirhealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1215920673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N WIGET LN STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982452",
            "telephone_number": "925-935-6252",
            "fax_number": "925-930-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N WIGET LN STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982452",
            "telephone_number": "925-935-6252",
            "fax_number": "925-930-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JOSHUA",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G76901",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "G76901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.