Frederick Chester Jacobson, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G65534 Issued in CA

Practice address

1741 W Romneya Dr
Ste B
Anaheim, CA 92801-1805

Phone

(714) 332-5000

Fax

(714) 833-5007

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Fullerton Anesthesia Associates, a Medical Group, Inc.

  • Anesthesiology Physician
  • Fullerton, CA
  • NPI 1144278433
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1265478127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1000",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 W ROMNEYA DR",
            "address_2": "STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011805",
            "telephone_number": "714-332-5000",
            "fax_number": "714-833-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "FREDERICK",
        "middle_name": "CHESTER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G65534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "050014975",
            "identifier": "RR PTAN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Jacobo
• Ashanti Genee Jacobs
• Sally Jacobs
• Wilbert M. Jacobs Jr.
• Celeste Jacobsen, AC
• Janira Jacoubs-Beye, PSY.D.
• Ilah Jacquemot
• Melissa Jacques
• Jade Behavioral Consultants
• Jade Enhanced Support Services

• Anesthesiology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.