Individual provider Active NPI

Douglas W Jacobson, MD

  • Ophthalmology Physician
  • Santa Barbara, CA
National Provider Identifier
1316058639
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A102361 Issued in CA
Practice address
1919 State St
Suite 303
Santa Barbara, CA 93101-2430
Phone
(805) 203-0852
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A102361 CA Primary

Addresses

Primary practice location

1919 State St
Suite 303
Santa Barbara, CA 93101-2430

Mailing address

1919 State St
Suite 303
Santa Barbara, CA 93101-2430
Phone (805) 203-0852

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100819000147 CA Practitioner - Ophthalmology 3870634348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Practice addresses (Care Compare)

4151 Foothill Rd
Santa Barbara, CA 93110-1110
Phone (805) 681-1760

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Jan 12, 2018 Accepting new patients
Clinicas del Camino Real Inc Current Accepting new patients
Sansum Clinic Current Accepting new patients
Sansum Clinic CurrentSince Jan 12, 2018 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Mar 15, 2011 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Mar 15, 2011 Accepting new patients
Sansum Clinic Past Accepting new patients
Santa Ynez Valley Cottage Hospital, Inc Past Accepting new patients
Goleta Valley Cottage Hospital Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients

Locations

355 Central Ave
Fillmore, CA 93015
Phone (805) 524-4926

1200 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-8293

650 Meta St
Oxnard, CA 93030
Phone (805) 487-5351

4151 Foothill Rd
Santa Barbara, CA 93110
Phone (805) 681-1760

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

Interoperability endpoints

  • Direct secure messaging: djacobson760557@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1316058639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 STATE ST",
            "address_2": "SUITE 303",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012430",
            "telephone_number": "805-203-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 STATE ST",
            "address_2": "SUITE 303",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012430",
            "telephone_number": "805-203-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "DOUGLAS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A102361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.