Individual provider Active NPI

Jacob Edward Posner

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1891422283
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1500 N Renaissance Blvd NE Ste C
Albuquerque, NM 87107-7002
Phone
(505) 266-5565
NPI assigned
Aug 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1500 N Renaissance Blvd NE Ste C
Albuquerque, NM 87107-7002

Mailing address

1500 N Renaissance Blvd NE Ste C
Albuquerque, NM 87107-7002
Phone (505) 266-5565

Other identifiers 1

IdentifierTypeStateIssuer
2505778241MedicaidNM

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204002765 CA Practitioner - Physician Assistant 8426589136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians
Livwell Healthcare Solutions PCGroup PAC ID 0749637312, 10 clinicians

Practice addresses (Care Compare)

1411 Berryessa Rd
Suite 30
San Jose, CA 95133-1014
Phone (408) 785-6344

1760 S Bascom Ave
Suite 140
Campbell, CA 95008-0638
Phone (408) 214-9732

2712 Augustine Dr
Suite 120
Santa Clara, CA 95054-2941
Phone (408) 780-2542

377 Santana Row
Suite 1180
San Jose, CA 95128-2061
Phone (669) 247-4773

5120 Cherry Ave
Suite 20
San Jose, CA 95118-3786
Phone (408) 780-2532

594 El Camino Real
Santa Clara, CA 95050-4345
Phone (408) 821-4449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC CurrentSince Nov 1, 2025 Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 Accepting new patients
Carbon Health Medical Group of California PC Past Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501

1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732

6971 El Camino Real
Ste 101
Carlsbad, CA 92009
Phone (760) 258-4971

4156 Manzanita Ave
Ste 100
Carmichael, CA 95608
Phone (916) 483-5400

11971 Central Ave
Ste B
Chino, CA 91710
Phone (909) 310-1488

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722

303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615

14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173

806 New Los Angeles Ave
Moorpark, CA 93021
Phone (805) 334-8650

401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206

1390 Market St
Ste 109
San Francisco, CA 94102
Phone (415) 918-5766

46 Hillsdale Mall
San Mateo, CA 94403
Phone (650) 769-5612

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1891422283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N RENAISSANCE BLVD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871077002",
            "telephone_number": "505-266-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N RENAISSANCE BLVD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871077002",
            "telephone_number": "505-266-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSNER",
        "first_name": "JACOB",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2505778241",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.