JACOBS MEDICAL SUPPLY,LLC (NPI# 1124386495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124386495 |
| Entity Type | Organization |
| Organization Name | JACOBS MEDICAL SUPPLY,LLC |
| Practice Address |
8213 Crichton Way Elk Grove CA 95758-8028 |
| Practice Telephone | 9166474193 |
| Practice Fax Number | 9168965115 |
| Mailing Telephone | 9166474193 |
| Mailing Fax Number | 9168965115 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | MR. JERRY VALERA NERIA (PRESIDENT) |
| Authorized Official Telephone | 9166474193 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 201013710108 | CA | Suppliers |
| Street Address |
8213 CRICHTON WAY |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95758-8028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
| 1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
| 1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
| 1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
| Find all providers in zip 95758 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053857243 | Skm Medical Technology | Durable Medical Equipment & Medical Supplies | 9382 Briartown Ct, Elk Grove, CA 95624-6067 | 2017-01-11 |
| 1356689087 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 10075 Bruceville Rd, Elk Grove, CA 95757-9501 | 2013-01-31 |
| 1528319506 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 8455 Elk Grove Blvd, Elk Grove, CA 95758-9573 | 2012-10-01 |
| 1316251937 | Elk Grove Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 8949 Elk Grove Blvd, Elk Grove, CA 95624-1942 | 2010-08-06 |
| 1609100189 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 9260 Elk Grove Boulevard, Elk Grove, CA 95624-2103 | 2009-09-30 |
| 1316030992 | Odermatt Enterprises Inc | Durable Medical Equipment & Medical Supplies | 8649 Elk Grove Blvd, Elk Grove, CA 95624-1790 | 2006-10-02 |
| 1023025020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9200 Elk Grove Florin Rd, Elk Grove, CA 95624-1609 | 2006-08-02 |
| 1326054701 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7299 Laguna Blvd, Elk Grove, CA 95758-5059 | 2006-07-31 |
| 1720094014 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 7211 Elk Grove Boulevard, Elk Grove, CA 95758-5500 | 2006-07-31 |
| 1942215033 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8400 Elk Grove Florin Rd, Elk Grove, CA 95624-9450 | 2006-07-29 |
| Find all providers in ELK GROVE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.