Active NPI
Jacob Terran Bockser
- Registered Respiratory Therapist
- Martinez, CA
National Provider Identifier
1740744705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- Practice address
- 200 Muir Rd
Alhambra Building #4
Martinez, CA 94553-4614 - Phone
- (925) 372-1106
- NPI assigned
- Jan 24, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | |||
| Registered Respiratory Therapist | 227900000X | Primary |
Addresses
Primary practice location
200 Muir Rd
Alhambra Building #4
Martinez, CA 94553-4614
Mailing address
200 Muir Rd
Alhambra Building #4
Martinez, CA 94553-4614
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1740744705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MUIR RD",
"address_2": "ALHAMBRA BUILDING #4",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945534614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MUIR RD",
"address_2": "ALHAMBRA BUILDING #4",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945534614",
"telephone_number": "925-372-1106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCKSER",
"first_name": "JACOB",
"middle_name": "TERRAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-24",
"last_updated": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": null,
"license": null,
"primary": false
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "200 Muir Rd",
"city": "Martinez",
"state": "CA",
"country_code": "US",
"postal_code": "945534614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.