Active NPI
Andrew Ray Jakubowsky
- Behavior Analyst
- Salinas, CA
National Provider Identifier
1851859482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- F5496034
- Practice address
- 333 Abbott St
Salinas, CA 93901-4485 - Phone
- (831) 225-0989
- NPI assigned
- Mar 2, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | F5496034 | CA | Primary |
Addresses
Primary practice location
333 Abbott St
Salinas, CA 93901-4485
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (831) 345-2345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UUE1012938U0 | Other | CA | BLUE SHIELD OF CALIFORNIA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F5496034 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551484800000",
"number": "1851859482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1800",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677807",
"telephone_number": "831-345-2345",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 ABBOTT ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014485",
"telephone_number": "831-225-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAKUBOWSKY",
"first_name": "ANDREW",
"middle_name": "RAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-02",
"last_updated": "2019-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "F5496034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "UUE1012938U0",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.