Jacob Hattenbach DO Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JACOB HATTENBACH DO INC

Practice address

2021 Santa Monica Blvd Ste 200E
Santa Monica, CA 90404-2136

Phone

(323) 709-3657

NPI assigned

Jun 13, 2025

Last updated

Sep 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob Hattenbach, DONPI 1184184244

Title

Medical Director

Phone

(323) 709-3657

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Daniel Hattenbach, DO

  • Physical Medicine & Rehabilitation Physician
  • Santa Monica, CA
  • NPI 1184184244
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1750277067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 WILSHIRE BLVD # 144",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 200E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042136",
            "telephone_number": "323-709-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB HATTENBACH DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "HATTENBACH",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-709-3657",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jackson
• Heidi Margaret Jackson, LMFT
• Ramzes Cunnigan Jackson
• Robert Julian Jackson, MD
• Tyler Pembroke Jackson, MD
• Arash Jacob, D.O.
• Lauren A Jacob, L.AC.
• Naomi Jacobs-El, DPT, LMT, RYT, CPT
• Jeffrey Rolnald Jacobs
• Greta Jacobsen

• Physical Medicine & Rehabilitation Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.