Active NPI
Jacob Pesachov, MD
- Pediatric Sleep Medicine Physician
- Los Angeles, CA
National Provider Identifier
1639829591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Sleep Medicine Physician
- License
- A203196
- Practice address
- 1700 E. Cesar Chavez Ave
Suite 2500
Los Angeles, CA 90033 - Phone
- (855) 522-3682
- NPI assigned
- Mar 24, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Sleep Medicine Physician | 2080S0012X | A203196 | CA | Primary |
Addresses
Primary practice location
1700 E. Cesar Chavez Ave
Suite 2500
Los Angeles, CA 90033
Mailing address
1700 E. Cesar Chavez Ave
Suite 2500
Los Angeles, CA 90033
Medicare participation
Medicare enrollment files- 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: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1639829591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 E. CESAR CHAVEZ AVE",
"address_2": "SUITE 2500",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E. CESAR CHAVEZ AVE",
"address_2": "SUITE 2500",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "855-522-3682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESACHOV",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-24",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080S0012X",
"taxonomy_group": "",
"desc": "Pediatrics, Sleep Medicine",
"state": "CA",
"license": "A203196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.