NPIMap

Organization Active NPI

Lucien R Jacobs MD Inc

  • Gastroenterology Physician
  • Tarzana, CA
National Provider Identifier
1902047749
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A30329 Issued in CA
Legal business name
LUCIEN R JACOBS MD INC
Practice address
18425 Burbank Blvd
Suite 500
Tarzana, CA 91356-2806
Phone
(818) 708-6070
Fax
(818) 708-6070
NPI assigned
Mar 6, 2009
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Dr. Lucien R Jacobs, M.D.NPI 1639155658
Title
President
Phone
(818) 708-6070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A30329 CA Primary

Addresses

Primary practice location

18425 Burbank Blvd
Suite 500
Tarzana, CA 91356-2806

Mailing address

18425 Burbank Blvd
Suite 500
Tarzana, CA 91356-2806
Phone (818) 708-6070

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1902047749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 500",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-708-6070",
            "fax_number": "818-708-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 500",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-708-6070",
            "fax_number": "818-708-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIEN R JACOBS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LUCIEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-708-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A30329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.