Jesse Jacobo

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT44882 Issued in CA

Practice address

24582 Del Prado
Suite C
Dana Point, CA 92629-3125

Phone

(949) 276-5401

Fax

(949) 276-5403

NPI assigned

Jul 22, 2021

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

Medicare enrollment (NPD)

Not enrolled

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.

• Rausch Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Laguna Niguel, CA
  • NPI 1538110861
  NPD
• Pack Physical Therapy, Inc.

  • Physical Therapist
  • South Jordan, UT
  • NPI 1336413798
  NPD

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1710550124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE B7",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533125",
            "telephone_number": "949-597-0007",
            "fax_number": "949-597-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24582 DEL PRADO",
            "address_2": "SUITE C",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293125",
            "telephone_number": "949-276-5401",
            "fax_number": "949-276-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBO",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "MT44882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usha Idnani, M.D.
• Ims Services LLC
• Indah Recovery LLC
• Infant Assist Inc.
• Amanda Irrgang, RD
• Jeffrey M Jacobson, D.M.D
• Alexis Theresa Jakovich
• Jeanne M. Singleton-Doran, RPT
• Jeffrey R Kindseth DDS Apc
• Noorani Jiwani, L.AC., D.A.O.M.

• Massage Therapist in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.