Lee A. Jacobs, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2OA5950 Issued in CA

Practice address

591 McCray St
Ste. 101
Hollister, CA 95023-2224

Phone

(831) 634-4444

Fax

(831) 634-4440

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Bay Area Occupational Medical Group, PC

  • Urgent Care Clinic/Center
  • San Jose, CA
  • NPI 1780431106
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1871681809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROSSI CIR",
            "address_2": "SUITE 141",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939072362",
            "telephone_number": "831-757-4444",
            "fax_number": "831-757-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 MCCRAY ST",
            "address_2": "STE. 101",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232224",
            "telephone_number": "831-634-4444",
            "fax_number": "831-634-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "LEE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "2OA5950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Guadalupe Ibanez
• Icare Pharmacy 2
• Jamie Inman
• Karla Fernanda Iraheta Castellon, DDS
• Cherise Lee Jackson, CADC-I
• Niyati Jani
• Vanessa Evelin Jara, MA
• Nicole Jarrett
• Jesus Leon, MD Inc
• Joseph P Jiang, MD

• Family Medicine Physician in Hollister, CA
• Providers in Hollister, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.