Active NPI
Jack Yacoo, M.D.
- Hospitalist Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A125539
- Practice address
- 7901 Frost St
San Diego, CA 92123-2701 - Phone
- (858) 939-3400
- NPI assigned
- Sep 27, 2012
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | A125539 | CA | Primary |
Addresses
Primary practice location
7901 Frost St
San Diego, CA 92123-2701
Mailing address
8765 Aero Dr Ste 130
San Diego, CA 92123-1767
Phone (858) 541-0181
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Human Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400
Hospital & facility affiliations
- Giving Hands Home Health Care, Inc
- Sharp Memorial Hospital
- UC San Diego Health Hillcrest - Hillcrest Med Ctr
- Sharp Coronado Hospital and Hlthcr Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A125539 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Focus on Health Inc | Current | Accepting new patients |
Locations
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
8695 Spectrum Center Ct
San Diego, CA 92123
Phone (858) 499-3025
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
8765 Aero Dr
Ste 130
San Diego, CA 92123
Phone (858) 541-0181
Interoperability endpoints
- jyacoo33712@sharphealthcare.direct-ci.com
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- General Practice Physician
- San Diego, CA
- NPI 1497450530
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Encino, CA
- NPI 1326642646
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
-
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1588915730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8765 AERO DR STE 130",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231767",
"telephone_number": "858-541-0181",
"fax_number": "858-430-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 FROST ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232701",
"telephone_number": "858-939-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACOO",
"first_name": "JACK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-27",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A125539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.