Walter E. Jacobson, MD, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A61016 Issued in CA

Legal business name

WALTER E. JACOBSON, MD, INC.

Practice address

18300 Roscoe Blvd
Ifl Tower, 4TH Floor
Northridge, CA 91325-4105

Phone

(818) 885-8500

Fax

(818) 865-2124

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Walter Eric Jacobson, MDNPI 1659349389

Title

President

Phone

(818) 885-8599

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Eric Jacobson, M.D.

  • Psychiatry Physician
  • Northridge, CA
  • NPI 1659349389
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366558470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5699 KANAN RD",
            "address_2": "#433",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013358",
            "telephone_number": "818-885-8500",
            "fax_number": "818-865-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 ROSCOE BLVD",
            "address_2": "IFL TOWER, 4TH FLOOR",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254105",
            "telephone_number": "818-885-8500",
            "fax_number": "818-865-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER E. JACOBSON, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-885-8599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A61016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Walker
• Randy Walker
• David Wallace, PA-C
• David Carter Wallace, DO
• Walmart, Inc.
• Debbie Wang, D.O.
• Jeffrey Chinwei Wang, D.O.
• Liang Wang, MD
• Jeanette Ward
• Amara Sydelle Warren

• Psychiatry Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.