Jacob Hearn

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

14997 Mustang LN
Fontana, CA 92336-0171

Phone

(909) 269-6555

NPI assigned

Mar 14, 2023

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)

Not enrolled

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1922709179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1477",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923931477",
            "telephone_number": "760-243-3999",
            "fax_number": "760-256-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14997 MUSTANG LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360171",
            "telephone_number": "909-269-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARN",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xu Long He, D.O
• Healing for Humanity Counselor Inc.
• Healing Wheels
• Healinghub Trauma Center
• Health Fix Home Health
• Korinn Hearn, RN
• Ronald Lewis Hebard, MD
• Rudy Soner Hedayi, MD
• Lois Jacobs Heeren, L.C.S.W.
• Tavia Heidelberg-Tillotson

• Community Health Worker in Fontana, CA
• Providers in Fontana, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.