William a. Jacobson, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A18012 Issued in CA

Legal business name

WILLIAM A. JACOBSON, M.D.

Practice address

15203 11TH St Ste D
Victorville, CA 92395-3737

Phone

(760) 241-0080

Fax

(760) 241-0091

NPI assigned

Feb 23, 2017

Organization subpart

No

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

Authorized official

Name

William Arthur Jacobson, M.D.

Title

M.D.

Phone

(760) 241-0080

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1508305574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15203 11TH ST STE D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953737",
            "telephone_number": "760-241-0088",
            "fax_number": "760-241-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15203 11TH ST STE D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953737",
            "telephone_number": "760-241-0080",
            "fax_number": "760-241-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. JACOBSON, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "760-241-0080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A18012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1982655494",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Shiloh Wikert, LMFT
• Katherine Christine Wilcox, MD
• Wildwood Court LLC
• Lashalle Wiley
• Amy Louise Wilkin, A.T.,C.
• William C Ta Mdspectrum Medical & Wellness Center
• Jacquelyn Renee Williams Brooks, LCSW
• Cassidy Monique Williams
• Daeja Williams
• Danielle Williams

• Primary Care Clinic/Center in Victorville, CA
• Providers in Victorville, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.