Patricia Diane Jacobs, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN187146 Issued in CA

Practice address

910 Avon St
Belmont, CA 94002-1806

Phone

(650) 598-0307

NPI assigned

Jan 27, 2010

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1255662441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 RALSTON AVE # 28",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940021737",
            "telephone_number": "510-205-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 AVON ST",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940021806",
            "telephone_number": "650-598-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "PATRICIA",
        "middle_name": "DIANE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN187146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infinite Body Health Inc
• Isabella Ingrao
• Daria Monica Ivan, MSPT, COMT
• Nicole Caroline Jackman, PT
• Marco A Jacobo, PA-C
• Adil K Jadallah, M.D.
• Pragya Jain, M.D.
• Ebony James
• Tracey Jedrzejek, MA, CLE, IBCLC
• Jin Healing Acupuncture

• Licensed Vocational Nurse in Belmont, CA
• Providers in Belmont, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.