Benita Jacques

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

2323 Broadway
Oakland, CA 94612-2414

Phone

(415) 580-0090

NPI assigned

Sep 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Bay Area Diabetes Prevention Program

  • Prevention Professional
  • Oakland, CA
  • NPI 1457841520
  NPD Authorized official

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1932535150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122414",
            "telephone_number": "415-580-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122414",
            "telephone_number": "415-580-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "BENITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AC BHCS CLINICIAN 00",
            "identifier": "00",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Antoinette Jacobs, PHARM.D.
• Sanne Bjork Jacobsen, C.R.N.A.
• Victoria Jacobsen
• Kathie Jacobson, LCSW
• Connie Ellen Jacowitz, M.S.
• Cheryl Jacques, PSY.D.
• Hamta Jafari, M.D.
• Rachel Jaffe
• Jason Edward Jagodzinski, M.D.
• Farhana Jahan

• Health Educator in Oakland, CA
• Providers in Oakland, CA by specialty
• Health Educator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.