Individual provider Active NPI

Bruce Allen Jacobson, M.D.

  • Internal Medicine Physician
  • West Hills, CA
National Provider Identifier
1558314971
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A43500 Issued in CA
Practice address
7301 Medical Center Dr
Ste. 404
West Hills, CA 91307-1904
Phone
(818) 347-3239
Fax
(818) 348-0444
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A43500 CA Primary

Addresses

Primary practice location

7301 Medical Center Dr
Ste. 404
West Hills, CA 91307-1904

Mailing address

7301 Medical Center Dr
Ste. 404
West Hills, CA 91307-1904
Phone (818) 347-3239

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060809000265 CA Practitioner - Internal Medicine 8527061787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7301 Medical Ctr Dr
Suite 404
West Hills, CA 91307-1930

Hospital & facility affiliations

  • Glory Home Health Care Home health agency, Northridge, CA, CCN 757216
  • Classic Care Home Health Inc Home health agency, Los Angeles, CA, CCN 559319
  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A43500CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce a Jacobson M D a Professional Corporation Internal Medicine CurrentSince Jul 20, 1994 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
West Hills Hospital Past Accepting new patients

Locations

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

7301 Medical Center Dr
Ste 404
West Hills, CA 91307
Phone (818) 347-3239

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bruce.jacobson@bajmdapc-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1558314971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR",
            "address_2": "STE. 404",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071904",
            "telephone_number": "818-347-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR",
            "address_2": "STE. 404",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071904",
            "telephone_number": "818-347-3239",
            "fax_number": "818-348-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "BRUCE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.