Active NPI
Don M Jacobs, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Daly City, CA
National Provider Identifier
1548354087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- C40956
- Practice address
- 1900 Sullivan Ave
Pathology Dept
Daly City, CA 94015 - Phone
- (650) 991-6587
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C40956 | CA | Primary |
Addresses
Primary practice location
1900 Sullivan Ave
Pathology Dept
Daly City, CA 94015
Mailing address
PO Box 29471
Saint Louis, MO 63126-7471
Phone (888) 843-8475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C409560 | Medicaid | CA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40956 | CA | MD | General Practice Dentistry |
| C40956 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1548354087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29471",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631267471",
"telephone_number": "888-843-8475",
"fax_number": "844-410-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 SULLIVAN AVE",
"address_2": "PATHOLOGY DEPT",
"city": "DALY CITY",
"state": "CA",
"postal_code": "94015",
"telephone_number": "650-991-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "DON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "C40956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C409560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.