Organization Active NPI

Brenda P. Jacobs, M.D., Inc.

  • Obstetrics Physician
  • Long Beach, CA
National Provider Identifier
1780950857
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
G45847 Issued in CA
Legal business name
BRENDA P. JACOBS, M.D., INC.
Practice address
3550 Linden Ave
#1
Long Beach, CA 90807-4577
Phone
(562) 595-7889
Fax
(562) 595-1335
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Dr. Brenda Penny Jacobs, M.D.NPI 1083682371
Title
Chief Executive Officer
Phone
(562) 595-7889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X G45847 CA Primary

Addresses

Primary practice location

3550 Linden Ave
#1
Long Beach, CA 90807-4577

Mailing address

3550 Linden Ave
#1
Long Beach, CA 90807-4577
Phone (562) 595-7889

National Provider Directory

National Provider Directory

Locations

3550 Linden Ave
#1
Long Beach, CA 90807
Phone (562) 595-5331

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1780950857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 LINDEN AVE",
            "address_2": "#1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074577",
            "telephone_number": "562-595-7889",
            "fax_number": "562-595-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LINDEN AVE",
            "address_2": "#1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074577",
            "telephone_number": "562-595-7889",
            "fax_number": "562-595-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA P. JACOBS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "PENNY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "562-595-7889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G45847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.