Jacob Anthony Treskovich, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A127490 Issued in CA

Practice address

455 Hickey Blvd
Suite 414
Daly City, CA 94015-2629

Phone

(650) 301-4960

Fax

(650) 301-4961

NPI assigned

Jul 29, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Comprehensive Psychiatric Services, a Medical Group

  • Psychiatry Physician
  • Walnut Creek, CA
  • NPI 1184785834
  Medicare reassignment NPD

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1376709444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 HICKEY BLVD",
            "address_2": "SUITE 414",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152629",
            "telephone_number": "650-301-4960",
            "fax_number": "650-301-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 HICKEY BLVD",
            "address_2": "SUITE 414",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152629",
            "telephone_number": "650-301-4960",
            "fax_number": "650-301-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESKOVICH",
        "first_name": "JACOB",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A127490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cam Tran
• Henrietta Tran
• Jennifer Tran, FNP
• Trans Express LLC
• Thierry Tresguerres Louwerse
• Margaret Ann Trimble, RDHAP
• Sophie Trinh, M.A.
• Loraine Trinidad
• Marianne Cleary Troxell, M.A.
• Charlene Truong

• Psychiatry Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.