Active NPI
Neal H Jacobi, M.D.
- Psychiatry Physician
- Sunnyvale, CA
National Provider Identifier
1609908276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G42897
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G42897 | CA | MD | Psychiatry 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.