Individual provider Active NPI

Joshua Yousha Jacobson, MD

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1356769848
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A167657 Issued in CA
Practice address
433 N Bedford Dr # 770
Beverly Hills, CA 90210-4302
Phone
(424) 465-3800
Fax
(330) 481-5023
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A167657 CA Primary

Addresses

Primary practice location

433 N Bedford Dr # 770
Beverly Hills, CA 90210-4302

Mailing address

30200 Agoura Rd Ste 150
Agoura Hills, CA 91301-5427
Phone (310) 400-6432

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
I20200807001997 CA Practitioner - Plastic and Reconstructive Surgery 5496095820 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167657CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Zhu, M.D., P.C. CurrentSince May 23, 2025 Accepting new patients

Locations

433 N Camden Dr
Ste 770
Beverly Hills, CA 90210
Phone (310) 362-5292

Organizations & group practices 2

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1356769848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 150",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015427",
            "telephone_number": "310-400-6432",
            "fax_number": "330-481-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N BEDFORD DR # 770",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104302",
            "telephone_number": "424-465-3800",
            "fax_number": "330-481-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "JOSHUA",
        "middle_name": "YOUSHA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A167657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.