Active NPI
David M Jacobs, D.C
- Chiropractor
- Carson, CA
National Provider Identifier
1639614449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33724
- Practice address
- 519 W Carson St Ste 101
Carson, CA 90745-2617 - Phone
- (310) 533-1070
- NPI assigned
- Jan 3, 2017
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33724 | CA | Primary |
Addresses
Primary practice location
519 W Carson St Ste 101
Carson, CA 90745-2617
Mailing address
519 W Carson St Ste 101
Carson, CA 90745-2617
Phone (310) 533-1070
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1639614449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 W CARSON ST STE 101",
"city": "CARSON",
"state": "CA",
"postal_code": "907452617",
"telephone_number": "310-533-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 W CARSON ST STE 101",
"city": "CARSON",
"state": "CA",
"postal_code": "907452617",
"telephone_number": "310-533-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "DAVID",
"middle_name": "M",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-03",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.