Jacob Ian Priester

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2625 53Rd St
Sacramento, CA 95817-1629

Phone

(209) 620-1416

NPI assigned

Jul 10, 2019

Last updated

Jul 10, 2019By the provider in NPPES

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1306498209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 53RD ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171629",
            "telephone_number": "209-620-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 53RD ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171629",
            "telephone_number": "209-620-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIESTER",
        "first_name": "JACOB",
        "middle_name": "IAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Price, LCSW
• Latosha Renee Price, R1539101223
• Maureen Nedra Price, MFT
• Richard Price III, M.D., PH.D.
• Michele Nicole Priest
• Ana Paulina Prieto Razo
• Regino Prieto
• Primary Care Family Medical Clinic Inc.
• Primary Care Phcy (Sacramento County Health Department)
• Dmitri Primavera

• Student in an Organized Health Care Education/Training Program in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.