Jace Douglas Jacobsen

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95001352 Issued in CA

Practice address

6442 Gloria Dr
Huntington Beach, CA 92647-4226

Phone

(805) 814-2463

NPI assigned

May 21, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Anesthesiologists of the Central CoastGroup PAC ID 5597665018, 35 clinicians

Monterey Anesthesia ProfessionalsGroup PAC ID 6002047164, 17 clinicians

Regional Anesthesia Associates IncGroup PAC ID 7810275096, 45 clinicians

Excelle Anesthesia Services IncGroup PAC ID 4688046774, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kern Medical Center Hospital, Bakersfield, CA, CCN 050315
• Mercy Hospital Hospital, Bakersfield, CA, CCN 050295

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associated Anesthesiologists of the Central Coast

  dba Coastal Anesthesiology Medical Associates

  • Anesthesiology Physician
  • San Luis Obispo, CA
  • NPI 1619963576
  Medicare reassignment Care Compare group NPD
• Excelle Anesthesia Services, Inc.

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1689317208
  Medicare reassignment Care Compare group NPD
• Monterey Anesthesia Professionals

  • Anesthesiology Physician
  • Salinas, CA
  • NPI 1073935250

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Regional Anesthesia Associates Inc

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1811442874
  Medicare reassignment Care Compare group NPD
• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1811258510
  Medicare reassignment NPD
• MVG Anesthesia Inc a Professional Nursing Corporation

  • Certified Registered Nurse Anesthetist
  • Arroyo Grande, CA
  • NPI 1427747104

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Oak Creek Anesthesia Services, Inc.

  • Anesthesiology Physician
  • Visalia, CA
  • NPI 1619589512
  Medicare reassignment NPD
• Valley Regional Anesthesia Associates Inc

  • Anesthesiology Physician
  • Fresno, CA
  • NPI 1578272415
  Medicare reassignment NPD
• Forward Registered Nursing Anesthesia Co

  • Certified Registered Nurse Anesthetist
  • Templeton, CA
  • NPI 1134011224

  Nurse Anesthetist, Certified Registered

  NPD Authorized official
• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Orthopaedic Surgery Physician
  • Fresno, CA
  • NPI 1134668353
  NPD
• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Orthopaedic Surgery Physician
  • Fresno, CA
  • NPI 1376056721
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  dba Mercy Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  Care Compare affiliation
• Kern County Hospital Authority

  dba Kern Medical Center

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376623538
  Care Compare affiliation
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376960005
  Care Compare affiliation
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1427176569
  Care Compare affiliation
• Kern County Hospital Authority

  dba Kern Medical Center

  • Pharmacy
  • Bakersfield, CA
  • NPI 1629081849

  Hospital

  Care Compare affiliation
• Kern County Hospital Authority

  dba Kern Medical Center

  • Pharmacy
  • Bakersfield, CA
  • NPI 1699859223

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1871116004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 GLORIA DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474226",
            "telephone_number": "805-814-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6442 GLORIA DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474226",
            "telephone_number": "805-814-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "JACE",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-21",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "832119",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Jackett
• Charles William Jackson, M.D.
• Jeannine Jenat Jackson
• Krysten Ashley Jackson, P.T.
• Regan Nicole Jacobs
• Padmini Jadeja, PT
• Saeideh Jafari, H.I.S
• Darya Jamali Ashtiani
• James G Gitlin,M.D., Inc
• James G. Schulze, DDS, Ms, a Professional Corporation

• Certified Registered Nurse Anesthetist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.