Individual provider Active NPI

Neal H Jacobi, M.D.

  • Psychiatry Physician
  • Sunnyvale, CA
National Provider Identifier
1609908276
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G42897 Issued in CA
Practice address
1002 W Fremont Ave BLDG 2
Sunnyvale, CA 94087-3031
Phone
(408) 739-2383
Fax
(408) 749-8198
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G42897 CA Primary

Addresses

Primary practice location

1002 W Fremont Ave BLDG 2
Sunnyvale, CA 94087-3031

Mailing address

3862 Happy Valley Rd
Lafayette, CA 94549-2434
Phone (916) 572-7755

Other practice location 1

1425 Fruitdale Ave
San Jose, CA 95128-3234
Phone (408) 275-1010

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
I20081024000472 CA Practitioner - Psychiatry 9133287857 Practice locations: Fremont, CA; Union City, CA; San Jose, CA; Sunnyvale, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42897CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1609908276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3862 HAPPY VALLEY RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945492434",
            "telephone_number": "916-572-7755",
            "fax_number": "916-200-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W FREMONT AVE BLDG 2",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873031",
            "telephone_number": "408-739-2383",
            "fax_number": "408-749-8198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Fruitdale Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951283234",
            "country_code": "US",
            "telephone_number": "408-275-1010",
            "fax_number": "408-275-1066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "NEAL",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G42897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.