Ronald Joseph Faigao Jacolbia, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95009966 Issued in CA

Practice address

1 Shields Ave
Davis, CA 95616-5200

Phone

(530) 752-6475

Fax

(530) 754-5842

NPI assigned

Sep 12, 2018

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

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

Interoperability endpoints

• Direct secure messaging: rjacolbia273548@direct.ochin.org

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1265915425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHIELDS AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165200",
            "telephone_number": "530-752-1035",
            "fax_number": "530-754-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHIELDS AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165200",
            "telephone_number": "530-752-6475",
            "fax_number": "530-754-5842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Blue Ridge Road",
            "address_purpose": "LOCATION",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95616",
            "country_code": "US",
            "telephone_number": "530-752-6475",
            "fax_number": "530-754-5842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOLBIA",
        "first_name": "RONALD JOSEPH",
        "middle_name": "FAIGAO",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-12",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95009966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saif Ul Islam, R.PH
• Mark Alan Israel, M.D.
• Alan Jeffrey Iverson, MD
• Aaron Iwanyczko, P.A.
• Hideshi Sinclair Izu
• Kiran A Jain, M.D.
• Chrisyl Mary Jaison
• James W Childress DDS Inc
• Karli James
• Maria Isabel Josefina Javier

• Primary Care Nurse Practitioner in Davis, CA
• Providers in Davis, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.