Jacobs Clinical Diagnostics

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU745 Issued in CA

Legal business name

JACOBS CLINICAL DIAGNOSTICS

Practice address

7000 Boulder Ave
Highland, CA 92346-3348

Phone

(909) 864-7521

Fax

(909) 864-5137

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Frederick P Jacobs, PHD

Title

Clinical Audiologistceo

Phone

(909) 864-7521

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659490472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 BOULDER AVE",
            "address_2": "#135",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463313",
            "telephone_number": "909-864-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 BOULDER AVE",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463348",
            "telephone_number": "909-864-7521",
            "fax_number": "909-864-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS CLINICAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINICAL AUDIOLOGISTCEO",
        "authorized_official_telephone_number": "909-864-7521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU745",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "2405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inland Healthcare Group a Medical Corporation
• Erin R Irwin
• J & L Associates
• Lara Jaber, MD
• Lashundra Denette Jackson-Hicks
• Frederick P. Jacobs, PHD
• James Espinosa O.D.
• Kelly Janeth Jara
• Jass Inc
• Monica Jauregui, LCSW

• All providers in Highland, CA
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.