Individual provider Active NPI

Bradley Jacobsen, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • San Diego, CA
National Provider Identifier
1760845184
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A185917 Issued in CA
Practice address
7695 Cardinal CT Ste 100
San Diego, CA 92123-3357
Phone
(858) 609-7100
NPI assigned
Apr 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X A185917 CA Primary

Addresses

Primary practice location

7695 Cardinal CT Ste 100
San Diego, CA 92123-3357

Mailing address

7695 Cardinal CT Ste 100
San Diego, CA 92123-3357
Phone (858) 609-7100

Other practice location 1

3231 Waring Ct Ste S
Oceanside, CA 92056-4510
Phone (760) 631-6144

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bjacobsen@sdretina.intellechartdirect.net Health Information Exchange (HIE)
Direct Messaging Address bjacobsen@sdretina.intellechartdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530003294 CA Practitioner - Ophthalmology 9537425053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Un of California, Irvine, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vincent Q Nguyen MD IncGroup PAC ID 4880620707, 3 clinicians

Practice addresses (Care Compare)

7695 Cardinal CT
Suite 100
San Diego, CA 92123-3357
Phone (858) 609-7100

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A185917CAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent Q. Nguyen, M.D., Inc. Ophthalmology CurrentSince Apr 1, 2023 Accepting new patients
Fane L. Robinson, M.D. and Mark D. Smith, M.D., a Medical Corporation Retina Specialist PastSince Apr 1, 2023 Accepting new patients

Locations

3231 Waring Ct
Ste S
Oceanside, CA 92056
Phone (760) 631-6144

7695 Cardinal Ct
Ste 100
San Diego, CA 92123
Phone (619) 299-1554

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1760845184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-609-7100",
            "fax_number": "858-609-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-609-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 Waring Ct Ste S",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564510",
            "country_code": "US",
            "telephone_number": "760-631-6144",
            "fax_number": "760-724-3920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "BRADLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-02",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A185917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjacobsen@sdretina.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3231 Waring Ct Ste S",
            "city": "Oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920564510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjacobsen@sdretina.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7695 Cardinal Ct Ste 100",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921233357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.