Active NPI
Julie Ann Jacob, MD
- Emergency Medicine Physician
- Inglewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A102769
- Practice address
- 555 E Hardy St
Inglewood, CA 90301-4011 - Phone
- (310) 673-4660
- Fax
- (310) 963-0403
- NPI assigned
- Mar 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A102769 | CA | Primary |
Addresses
Primary practice location
555 E Hardy St
Inglewood, CA 90301-4011
Mailing address
337 E 88TH St
Apt 2B
New York, NY 10128-4952
Phone (917) 583-5648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.89 of 100
- Quality
- 78.69
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.64 of 100
- Quality
- 80.76
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A102769 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Johns Emergency Medicine Specialists Inc a Medical Group | Emergency Medicine | Current | Accepting new patients |
| Centinela Freeman Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Tarzana Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Valley Presbyterian Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Sherman Oaks Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Telemedicine365 Inc | Emergency Medicine | Current | Accepting new patients |
| Max Franklin Lebow, a Medical Corporation | Emergency Medicine | Past | Accepting new patients |
Locations
751 Medical Center Ct
#1182
Chula Vista, CA 91911
555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561
15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1528333101
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Emergency Medicine Physician
- Santa Monica, CA
- NPI 1609888940
-
- Emergency Medicine Physician
- Sherman Oaks, CA
- NPI 1518904150
-
- Emergency Medicine Physician
- Tarzana, CA
- NPI 1235176702
-
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1033133103
-
- Emergency Medicine Physician
- Lynwood, CA
- NPI 1932596848
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Emergency Medicine Physician
- El Segundo, CA
- NPI 1912525817
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1043255813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1881864890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 E 88TH ST",
"address_2": "APT 2B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284952",
"telephone_number": "917-583-5648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E HARDY ST",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014011",
"telephone_number": "310-673-4660",
"fax_number": "310-963-0403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOB",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A102769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.