J.Bruce Jacobs, M.D., Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A21604 Issued in CA

Legal business name

J.BRUCE JACOBS, M.D., INC.

Doing business as

Desert CT MRI

Practice address

39700 Bob Hope Dr
Suite 101
Rancho Mirage, CA 92270-3267

Phone

(760) 770-9696

Fax

(760) 346-6478

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Jay Bruce Jacobs, MD

Title

President

Phone

(760) 770-9696

Specialties & licenses 1

Addresses

Other names 1

• Desert CT MRI Doing business as

Locations

Practitioners 1

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

• Michael W Kistler, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1508811175
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1821041377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39700 BOB HOPE DR",
            "address_2": "SUITE 101",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703269",
            "telephone_number": "760-770-9696",
            "fax_number": "760-346-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39700 BOB HOPE DR",
            "address_2": "SUITE 101",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703267",
            "telephone_number": "760-770-9696",
            "fax_number": "760-346-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.BRUCE JACOBS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-770-9696",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A21604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert CT MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Internal Medicine Specialists Inc
• James Daniel Iori, CHES
• Justin Ayed Ireifej, MD
• Britny Iriana Isita
• J. Conrad Greenwald M.D., a Professional Corporation
• J.Herndons, LLC
• Parnian Jabbari
• John David Jacobson, M.D
• Jacome Medical Group
• Enrique G Jacome, MD

• Diagnostic Radiology Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.