Said Jacob, M.D., M.P.H.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A43666 Issued in CA

Legal business name

SAID JACOB, M.D., M.P.H.

Doing business as

Dr Jacob & Associates

Practice address

415 W Route 66 Ste 202
Glendora, CA 91740-4335

Phone

(626) 963-4467

Fax

(626) 963-9543

NPI assigned

Apr 14, 2016

Last updated

Apr 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Said Jacob, M.D.NPI 1528128949

Title

Owner/Ceo

Phone

(626) 963-4467

Specialties & licenses 1

Addresses

Other names 1

• Dr Jacob & Associates Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Said Jacob, M.D.

  • Psychiatry Physician
  • Glendora, CA
  • NPI 1528128949
  NPD (past) Authorized official

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1548614613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W ROUTE 66 STE 202",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404335",
            "telephone_number": "626-963-4467",
            "fax_number": "626-963-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W ROUTE 66 STE 202",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404335",
            "telephone_number": "626-963-4467",
            "fax_number": "626-963-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAID JACOB, M.D., M.P.H.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "SAID",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "626-963-4467",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A43666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Jacob & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Karen Sahakyan
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• Marlon C Salamat, ADMINISTRATOR
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• Romel Salcedo
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• Psychiatry Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.