Organization Active NPI

Jakewood Medical Professional Corporation

  • Emergency Medicine Physician
  • Temecula, CA
National Provider Identifier
1275468597
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
JAKEWOOD MEDICAL PROFESSIONAL CORPORATION
Practice address
30650 Rancho California Rd Ste D406-148
Temecula, CA 92591-3215
Phone
(951) 551-4038
NPI assigned
Jun 17, 2026
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Brent Jacobsen, MD
Title
Owner
Phone
(951) 551-4038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

30650 Rancho California Rd Ste D406-148
Temecula, CA 92591-3215

Mailing address

30650 Rancho California Rd Ste D406-148
Temecula, CA 92591-3215

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1275468597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30650 RANCHO CALIFORNIA RD STE D406-148",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30650 RANCHO CALIFORNIA RD STE D406-148",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913215",
            "telephone_number": "951-551-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKEWOOD MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-551-4038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.