Ruth Jacobson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95018243 Issued in CA

Practice address

455 E Columbia St Ste 201
Long Beach, CA 90806-1607

Phone

(844) 822-4646

Fax

(562) 216-6192

NPI assigned

Sep 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Ruth Shure Former name

Electronic endpoints 1

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

Nurse Practitioner

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1447929997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 OCEAN AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406549",
            "telephone_number": "818-261-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E COLUMBIA ST STE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061607",
            "telephone_number": "844-822-4646",
            "fax_number": "562-216-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ruth.jacobson@nocrhf.org",
            "affiliation": "N",
            "address_1": "1182 N Euclid St",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928011900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "SHURE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Penny Jacobs, M.D.
• Dean Jacobs
• Denise Jacobs, RN
• Stephanie Jacobs, PH.D.
• Synovia A Jacobs, LVN
• Evelyn Susan Jacoby-Miller, MSW, LCSW
• Astra Melitante Jacot, PA-C
• Jaleena Jacques
• Raenesha Jacquette
• Patrick Mehran Jadali, DPM

• Family Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, 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 Nov 26, 2024; 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.