Individual provider Active NPI

Adam Jonathan Jacobs, D.C

  • Sports Physician Chiropractor
  • San Francisco, CA
National Provider Identifier
1952551855
Registry record updated Jul 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC-31019 Issued in CA
Practice address
1365 4TH St
San Francisco, CA 94158-2201
Phone
(415) 788-8700
Fax
(415) 788-8702
NPI assigned
Sep 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC-31019 CA Primary

Addresses

Primary practice location

1365 4TH St
San Francisco, CA 94158-2201

Mailing address

1365 4TH St
San Francisco, CA 94158-2201
Phone (415) 788-8700

Other practice location 1

2013 E 9th Ave
Spokane, WA 99202-3427
Phone (415) 264-4657

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
DC-31019CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Jacobs Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adam.jacobs@748470680682500.direct.elationemr.com

Organizations & group practices 1

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": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751760000000",
    "number": "1952551855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 4TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582201",
            "telephone_number": "415-788-8700",
            "fax_number": "415-788-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 4TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582201",
            "telephone_number": "415-788-8700",
            "fax_number": "415-788-8702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2013 E 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992023427",
            "country_code": "US",
            "telephone_number": "415-264-4657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ADAM",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2025-07-06",
        "certification_date": "2025-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC-31019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.