Jacob Correa

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95069278 Issued in CA

Practice address

2222 Bancroft Way
Berkeley, CA 94720-4301

Phone

(510) 642-2000

NPI assigned

Jul 2, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1306735295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204301",
            "telephone_number": "510-642-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95069278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "University Health Services, University of California, Berkeley",
            "address_1": "2222 Bancroft Way",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947204301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "2222 Bancroft Way",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947204301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cornelia M Pessoa, MD
• Lakendra Cornelius, MSN, MPH, APRN, CNM
• Cuidonce Luciana Corona, M.S.
• Mario L Corona, MD
• Anabell Corpuz
• Maristela Mamede Correa, CPPD
• Rubi Delgadillo Cortes, MD
• Lucia Alyce Cortez, PPS
• Macarena Cortina Petrasic, MA, AMFT
• Tashua Corum

• Registered Nurse in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.