Jacob A Marhefky III

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

215513 Issued in CA

Practice address

12021 Wilmington Ave BLDG 18
Los Angeles, CA 90059-3019

Phone

(424) 454-5400

NPI assigned

Sep 8, 2025

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1912887126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11929 VENICE BLVD APT 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663939",
            "telephone_number": "310-254-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 WILMINGTON AVE BLDG 18",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593019",
            "telephone_number": "424-454-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARHEFKY",
        "first_name": "JACOB",
        "middle_name": "A",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "215513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Jacob Margolis
• Shanna Margolis
• Tamara Margolis
• Anna Rose Margul, LCSW
• Daniel Margulies, M.D.
• Maria a Espinoza MD, Inc
• Maria Delia Fortunato Pmhnp BC a Professional Nursing Corporation (Eliezer Mental Health Nursing Services)
• Maria Pilar Bernardo DDS Inc
• Marian a. Fedak M.D. Medical Corporation (VMV Medical Associates, Inc.)
• Marianne Hunt Licensed Clinical Social Worker Inc

• Licensed Vocational Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.