Karen Jacobs, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-16502 Issued in CA

Practice address

955 Carrillo Dr Ste 108
Los Angeles, CA 90048-5400

Phone

(323) 651-4454

NPI assigned

Nov 6, 2014

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 5, 2023 through Sep 5, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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.

• Hfmla Physician Assistant Inc

  dba Holistic Family Medicine of Los Angeles

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1598528879
  NPD Authorized official
• Holistic Family Medicine of Los Angeles PC

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1912741539
  NPD (past) Authorized official

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1609272335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CARDIFF AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342811",
            "telephone_number": "917-449-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CARRILLO DR STE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485400",
            "telephone_number": "323-651-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "KAREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA-16502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey D. Jacobs, D.C.
• Joanna Murstein Jacobs, PSY.D.
• John Yaghoubieh Jacobs, O.D.
• Jonathan Patrick Jacobs, M.D.
• Joseph Daniel Jacobs, PHD, BCBA-D
• Lynne Jacobs, PH.D.
• Marilyn Susan Jacobs, PH.D.
• Megan S Jacobs, MD
• Melissa Jacobs, PH.D.
• Robert Arthur Jacobs, MD, MPH

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.