Jacob Michael Izenberg

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

138796 Issued in CA

Practice address

401 Parnassus Ave
Box 0984-RTP
San Francisco, CA 94143-0984

Phone

(416) 476-7577

NPI assigned

Apr 8, 2014

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

Specialty

Psychiatry

Education

Yale University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of California San FranciscoGroup PAC ID 3678547304, 56 clinicians

Practice addresses (Care Compare)

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.

• University of California San Francisco

  • Clinical Psychologist
  • San Francisco, CA
  • NPI 1104992817

  CA, Psychiatry

  Medicare reassignment Care Compare group NPD
• City & County of San Francisco

  • Clinical Medical Laboratory
  • San Francisco, CA
  • NPI 1982737524

  CA

  Medicare reassignment NPD
• City & County of San Francisco

  • Community Health/Public Health Clinical Nurse Specialist
  • San Francisco, CA
  • NPI 1609041060
  NPD
• City and County of San Francisco

  • Methadone Clinic
  • San Francisco, CA
  • NPI 1578787925
  NPD
• UC San Francisco

  • Case Management Agency
  • San Francisco, CA
  • NPI 1508933862
  NPD
• University of California San Francisco

  • Psychiatric Hospital
  • San Francisco, CA
  • NPI 1407900095
  NPD

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1457770463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PARNASSUS AVE",
            "address_2": "BOX 0984-RTP",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430984",
            "telephone_number": "416-476-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PARNASSUS AVE",
            "address_2": "BOX 0984-RTP",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430984",
            "telephone_number": "416-476-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZENBERG",
        "first_name": "JACOB",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "138796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shloka Iyer
• Sonali Iyer, MD
• Helina Iyob-Tessema, DMD
• Ambereen Iyoob, DBS
• Abiola Oyenwen Izekor
• Nina Izraylevich, D.D.S.
• J & T Care, LLC
• J Bodyworks Inc.
• J Brooks Crawford MD
• J D Stein DDS, PC

• All providers in San Francisco, CA
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.