Michael Jacobson

Primary specialty

DentistTaxonomy code 122300000X

License

63480 Issued in CA

Practice address

1101 N Hillcrest Rd
Beverly Hills, CA 90210-2614

Phone

(310) 951-3570

NPI assigned

Jun 14, 2014

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Feizbakhsh-Jacobson Partnership

  • Dentist
  • Culver City, CA
  • NPI 1861187619
  NPD Authorized official

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

{
    "created_epoch": "1402704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402704000000",
    "number": "1275947509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N HILLCREST RD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902102614",
            "telephone_number": "310-951-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N HILLCREST RD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902102614",
            "telephone_number": "310-951-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-14",
        "last_updated": "2014-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rena Jacobs, LMFT
• Steven Jeffrey Jacobs, M.D.
• Jacobsen Chiropractic Inc
• Daniel Jacobsen, D.C.
• Joshua Yousha Jacobson, MD
• Jacques Courseault, MD, PC
• Brett Jacques, ND
• Jade Surgery Center LLC
• Bernadette Jaeger, DDS
• Fatemeh Jafari

• Dentist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2014; 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.