Rachelle Lee Jacobs

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

1601 S Garey Ave SPC 123
Pomona, CA 91766-5267

Phone

(909) 437-3541

NPI assigned

Sep 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1831749936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S GAREY AVE SPC 123",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917665267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S GAREY AVE SPC 123",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917665267",
            "telephone_number": "909-437-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "RACHELLE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Winston Jackson IV
• Evanne Bree Jackson
• Mark Chie Jackson
• Stacie Jackson
• Finney Jacob
• Shahzad Jaffer, PA
• Jagtar Dhadwal, M.D. Inc.
• Jagtar Dhadwal, MD. Inc.
• Jaime Gonzalez, M.D., Inc.
• Jacquelyn Jaime

• Attendant Care Provider in Pomona, CA
• Providers in Pomona, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.