Individual provider Active NPI

Steven A Jacobsohn, M.D.

  • Gastroenterology Physician
  • San Francisco, CA
National Provider Identifier
1639104151
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G16494 Issued in CA
Practice address
2330 Post St
Suite 610
San Francisco, CA 94115-3465
Phone
(415) 502-4444
Fax
(415) 502-2249
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G16494 CA
Gastroenterology Physician 207RG0100X G16494 CA Primary

Addresses

Primary practice location

2330 Post St
Suite 610
San Francisco, CA 94115-3465

Mailing address

2330 Post St
Suite 610
San Francisco, CA 94115-3465
Phone (415) 502-4444

Other identifiers 1

IdentifierTypeStateIssuer
00G164940MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G16494CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1639104151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 POST ST",
            "address_2": "SUITE 610",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153465",
            "telephone_number": "415-502-4444",
            "fax_number": "415-502-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 POST ST",
            "address_2": "SUITE 610",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153465",
            "telephone_number": "415-502-4444",
            "fax_number": "415-502-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSOHN",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G16494",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G16494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G164940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.