Gretchen H. Jacobson, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G63450 Issued in CA

Practice address

1700 N Rose Ave
#250
Oxnard, CA 93030

Phone

(805) 983-1700

Fax

(805) 983-7144

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cary D. Alberstone, MD

  • Neurological Surgery Physician
  • Oxnard, CA
  • NPI 1407995111
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1376592733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE",
            "address_2": "#250",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93030",
            "telephone_number": "805-983-1700",
            "fax_number": "805-983-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE",
            "address_2": "#250",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93030",
            "telephone_number": "805-983-1700",
            "fax_number": "805-983-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "GRETCHEN",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G63450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG634500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gladys Jacobo
• Gary John Jacobs, O.D.
• Candace Melinda Jacobsen, R.N.
• Jacobson Dental Corp
• Jacobson Dental Corp
• Amy Karen Jaffey, PHD
• Jaime Martinez
• James C. Giles M.D.
• James P Cole PH D a Psychological Services Corporation
• James P. Schaeffer D.D.S. Dental Corporation

• Neurological Surgery Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.