Active NPI
Malarie Jacobson
- Case Manager/Care Coordinator
- Beaumont, CA
National Provider Identifier
1831672609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 14700 Manzanita Rd
Beaumont, CA 92223-3026 - Phone
- (951) 845-6737
- NPI assigned
- Sep 7, 2018
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
14700 Manzanita Rd
Beaumont, CA 92223-3026
Mailing address
1522 Rose Quartz LN
Beaumont, CA 92223-3434
Phone (909) 653-7566
Other names 1
- Malarie McMullen
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1831672609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1522 ROSE QUARTZ LN",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922233434",
"telephone_number": "909-653-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 MANZANITA RD",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922233026",
"telephone_number": "951-845-6737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "MALARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALARIE",
"last_name": "MCMULLEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Beaumont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.