Individual provider Active NPI

Joel Paul Jacobson, MD

  • Otolaryngology Physician
  • Monterey, CA
National Provider Identifier
1346448859
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A116331 Issued in CA
Practice address
966 Cass St
Suite 250
Monterey, CA 93940-4539
Phone
(831) 649-4000
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A116331 CA Primary

Addresses

Primary practice location

966 Cass St
Suite 250
Monterey, CA 93940-4539

Mailing address

1095 Los Palos Dr
Salinas, CA 93901-3916
Phone (831) 775-0205

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
I20110718000054 CA Practitioner - Otolaryngology 2062680101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast Head and Neck Surgeons a M C IncGroup PAC ID 8921086166, 14 clinicians

Practice addresses (Care Compare)

930 Sunnyslope Rd
Suite A4
Hollister, CA 95023-5616
Phone (831) 637-0760

966 Cass St
Suite 250
Monterey, CA 93940-4541
Phone (831) 649-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.27 of 100Reported as group
Quality
82.29
Promoting interoperability
95
Improvement activities
40
Cost
62.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision25
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116331CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Head & Neck Surgeons a M C Inc Otolaryngology CurrentSince Sep 1, 2012 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 22, 2012 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients

Locations

966 Cass St
Ste 250
Monterey, CA 93940
Phone (831) 649-4000

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

1095 Los Palos Dr
Salinas, CA 93901
Phone (831) 422-8798

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1346448859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 LOS PALOS DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013916",
            "telephone_number": "831-775-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 CASS ST",
            "address_2": "SUITE 250",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404539",
            "telephone_number": "831-649-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "JOEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A116331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.