Diane Jacobs, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43349 Issued in CA

Practice address

1098 Shell Blvd # a
Foster City, CA 94404-2902

Phone

(650) 634-1318

Fax

(650) 341-3472

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Erin Rake, DDS, P.C.

  • Dentist
  • Raleigh, NC
  • NPI 1770244212
  Medicare reassignment NPD
• DRS Kokas & Jacobs Corporation

  • General Practice Dentistry
  • Foster City, CA
  • NPI 1861603698
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578778577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 SHELL BLVD # A",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042902",
            "telephone_number": "650-634-1318",
            "fax_number": "650-341-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 SHELL BLVD # A",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042902",
            "telephone_number": "650-634-1318",
            "fax_number": "650-341-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Chuang Hung, M.D.
• Juliet Hunter
• Amira Mahmoud Husseiny
• Immunetech Inc
• Jacklyn Kurth Orthodontics Inc
• Mark A Jadallah, DDS
• Valerie Krieger Jahan, M.D.
• Sripriya Jayaraman, MPH, DDS
• Aaron Garrick Jew
• Philip Jochelson, M.D.

• General Practice Dentistry in Foster City, CA
• Providers in Foster City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.