Active NPI
Jacob Rekem MD Inc
- Anesthesiology Physician
- Los Alamitos, CA
National Provider Identifier
1841228897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- JACOB REKEM MD INC
- Practice address
- 3772 Katella Ave
Los Alamitos, CA 90720 - Phone
- (562) 868-3751
- NPI assigned
- Jun 29, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jacob Rekem, MD
- Title
- President
- Phone
- (562) 868-3751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
3772 Katella Ave
Los Alamitos, CA 90720
Mailing address
PO Box 7096
Stockton, CA 95267
Phone (209) 956-7725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A403690 | Other | CA | BLUE SHIELD OF CA |
| 00A403690 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Jacob Rekem MD Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Lakewood, CA
- NPI 1023046075
-
- Anesthesiology Physician
- Norwalk, CA
- NPI 1932137981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1841228897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95267",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3772 KATELLA AVE",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "90720",
"telephone_number": "562-868-3751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACOB REKEM MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REKEM",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-868-3751",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "00A403690",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A403690",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
- Amanda Brooke Israel, DDS
- Barry Dean Israel, DDS
- Jack Rubin MD, a Prof Corporation
- Michael John Jackson, MPT, B.ED.
- Suzanne Marie Jackson
- Guadalupe Johanna Jacobo
- Vidhyut Girish Jani, PHARM.D.
- Joseph Jee Jean, MD
- Jeffrey J. McCullough DMD, Ms, Inc. (Los Alamitos Periodontics & Dental Implants)
- Cindy Chen Jen, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.