Individual provider Active NPI

Jennie Jakobcic

  • Hearing Instrument Specialist
  • Rancho Cucamonga, CA
National Provider Identifier
1942587613
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA7633 Issued in CA
Practice address
7365 Carnelian St Ste 105
Rancho Cucamonga, CA 91730-1156
Phone
(909) 477-6500
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA7633 CA Primary

Addresses

Primary practice location

7365 Carnelian St Ste 105
Rancho Cucamonga, CA 91730-1156

Mailing address

7365 Carnelian St Ste 105
Rancho Cucamonga, CA 91730-1156
Phone (909) 477-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA7633CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Bell Hearing Aid Center Past Accepting new patients
National Hearing Care Center Past Accepting new patients

Organizations & group practices 2

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": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1942587613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301156",
            "telephone_number": "909-477-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301156",
            "telephone_number": "909-477-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOBCIC",
        "first_name": "JENNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.