Jerry Medical Corporation

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

G52993 Issued in CA

Legal business name

JERRY MEDICAL CORPORATION

Practice address

128 S. Montebello Blvd.
Montebello, CA 90640

Phone

(818) 888-7815

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Jerry Jacobs, M.D.

Title

Sole Owner

Phone

(818) 888-7815

Specialties & licenses 2

Addresses

Tax ID family

Jacobs Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jacobs Medical Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Los Angeles, CA
  • NPI 1588757009
  NPD tax ID

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1548357288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91357",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S. MONTEBELLO BLVD.",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "818-888-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "818-888-7815",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G52993",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G52993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaw J Wang MD Inc. (Montebello Pediatric Medical Gproup)
• Jeffrey W. Joe, DDS, Inc.
• Jelani E. Winslow DMD Inc
• Young a Jeon
• Jerome a Guttman DDS, Inc
• Jeffrey Wing (W) Joe, DDS
• John D. Uphold, MD, Inc. (Beverly Emergency Medical Group, Inc.)
• John M Hernandez, MD Inc
• Jonathan K. Lee DDS, Apc (Montebello Dental Studio)
• Tracy Jones

• Pain Medicine (Anesthesiology) Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.