Jacob Rispler, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

G33285 Issued in CA

Practice address

246 W College St
3Rd Floor
Covina, CA 91723-1910

Phone

(626) 915-1911

Fax

(626) 915-2668

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DM Laser and Derma Center

  • Dermatology Physician
  • Covina, CA
  • NPI 1164287066
  NPD
• Ryan Samuelian Chiropractic Corp

  dba Back To Basics Health and Wellness

  • Chiropractor
  • Newport Beach, CA
  • NPI 1235497728
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1689660037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 W COLLEGE ST",
            "address_2": "3RD FLOOR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231910",
            "telephone_number": "626-915-1911",
            "fax_number": "626-915-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 W COLLEGE ST",
            "address_2": "3RD FLOOR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231910",
            "telephone_number": "626-915-1911",
            "fax_number": "626-915-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISPLER",
        "first_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G33285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porfirio Rincon, MS
• Karen Lizbeth Rios Lopez
• Andrew Rios II
• Irma Rios
• Rayleen Rios
• Hillary Rivas
• Adela Carmen Rivera, RD
• Alejandro Rivera
• Ana Beatrix Rivera
• Andrew Rivera

• Procedural Dermatology Physician in Covina, CA
• Providers in Covina, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.

Verify at the official NPI Registry.