Active NPI
Jacob Akiva Ribakoff, PA-C
- Medical Physician Assistant
- Oceanside, CA
National Provider Identifier
1447587605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA20686
- Practice address
- 200 Mercy Cir
Oceanside, CA 92055 - Phone
- (760) 725-1048
- NPI assigned
- Nov 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA20686 | CA | Primary |
Addresses
Primary practice location
200 Mercy Cir
Oceanside, CA 92055
Mailing address
200 Mercy Cir
Oceanside, CA 92055
Phone (760) 421-1920
Other practice location 1
2989 East Arow St
Yuma, AZ 85365
Phone (928) 269-2557
Other practice location 2
Building 149 James L. Day Street
Barstow, CA 92311
Phone (760) 577-6349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20686 | CA | MD | Occupational Therapist |
| PA20686 | CA | MD | Medical Physician Assistant |
Interoperability endpoints
- jacob.ribakoff@fhcn.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1447587605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MERCY CIR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-421-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERCY CIR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-725-1048"
}
],
"practiceLocations": [
{
"address_1": "2989 East Arow St",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "85365",
"country_code": "US",
"telephone_number": "928-269-2557",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Building 149 James L. Day Street",
"address_purpose": "LOCATION",
"city": "Barstow",
"state": "CA",
"postal_code": "92311",
"country_code": "US",
"telephone_number": "760-577-6349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIBAKOFF",
"first_name": "JACOB",
"middle_name": "AKIVA",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-09",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA20686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.