Active NPI
Philippa Jacobs, N.P.
- Nurse Practitioner
- Lawndale, CA
National Provider Identifier
1811100134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 118699
- Practice address
- 14623 Hawthorne Blvd
Suite 300
Lawndale, CA 90260-1581 - Phone
- (213) 284-3121
- Fax
- (213) 284-3369
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 118699 | CA | Primary |
Addresses
Primary practice location
14623 Hawthorne Blvd
Suite 300
Lawndale, CA 90260-1581
Mailing address
2522 31St St
Santa Monica, CA 90405-3011
Phone (310) 450-0328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118699 | Other | CA | R.N.P. LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- philippa.jacobsrnp.p1@direct.plannedparenthoodla.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1811100134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2522 31ST ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053011",
"telephone_number": "310-450-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14623 HAWTHORNE BLVD",
"address_2": "SUITE 300",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902601581",
"telephone_number": "213-284-3121",
"fax_number": "213-284-3369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "PHILIPPA",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "118699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.N.P. LICENSE",
"identifier": "118699",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawndale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.