Vivianne Jakobs, RN,MSN,IBCLC, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013545 Issued in CA

Practice address

10737 Camino Ruiz Ste 235
San Diego, CA 92126-2375

Phone

(844) 200-2426

NPI assigned

May 28, 2010

Last updated

May 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vivianne.jakobs@opsam.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Digestive Disease Associates, Inc

  • Specialist
  • San Diego, CA
  • NPI 1073699971
  Medicare reassignment
• Operation Samahan Inc

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1194616268
  NPD (past)
• Operation Samahan, Inc.

  dba Samahan Health Centers

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1871680397
  NPD (past)

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1366761322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12253 CARMEL VISTA RD",
            "address_2": "APT. # 280",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302533",
            "telephone_number": "858-525-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ STE 235",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262375",
            "telephone_number": "844-200-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 E Valley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920253008",
            "country_code": "US",
            "telephone_number": "760-740-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKOBS",
        "first_name": "VIVIANNE",
        "credential": "RN,MSN,IBCLC, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013545",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "664576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandhya Jairaj
• Rajiv Jairam, M.D.
• Joanna C Jaiswal, RADT
• Patricia Jakobcic
• Marie Rose Jakobczuk-Seda, PSY.D.
• Steven Frank Jaksha, D.M.D.
• Jessica Jakubiec, PHARMD
• Kyle Jakubowski
• Mohammad Jalaal
• Tesneem Akram Jalal Tamimi, MD

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.