DR. RICHARD LESLIE JACOBSON (NPI# 1184751125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184751125 |
| Entity Type | Individual |
| Full Name | DR. RICHARD LESLIE JACOBSON |
| Credential | D.M.D, M.S. |
| Practice Address |
881 Alma Real Dr Suite 200 Pacific Palisades CA 90272-3731 |
| Practice Telephone | 3104540317 |
| Practice Fax Number | 3104593826 |
| Mailing Telephone | 3104540317 |
| Mailing Fax Number | 3104593826 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DJ029308 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952443673 | Richard Samuel Jacobson | Pediatrics | 10515 Balboa Bl., Suite 250, Granada Hills, CA 91344 | 2007-02-12 |
| 1013968858 | Richard David Jacobson | Psychiatry & Neurology | 4228 Brookfield Dr, Charlotte, NC 28210 | 2006-05-15 |
| 1053399691 | Richard Y Jacobson | Optometrist | 1428 2nd Ave N, Medical Arts Bldg, Fort Dodge, IA 50501-4119 | 2006-01-04 |
| 1114411824 | Richard Michael Jacobson | Counselor | 401 W Morrison Ave Ste B, Santa Maria, CA 93458-6124 | 2018-06-15 |
| 1144601667 | Richard A Jacobson Jr. | Surgery | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2015-06-10 |
| 1063614477 | Richard Harvey Jacobson | Psychiatry & Neurology | 1100 Ward Ave, Suite 1070, Honolulu, HI 96814-1600 | 2007-06-05 |
| 1750391280 | Richard G Jacobson | Physician Assistant | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2006-08-08 |
| 1023042686 | Richard Yngve Jacobson Jr. | Nurse Anesthetist, Certified Registered | 112 Jefferson St, West Union, IA 52175 | 2006-07-10 |
| 1477500288 | Richard Wesley Jacobson | Emergency Medicine | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2006-05-27 |
| Street Address |
881 ALMA REAL DR SUITE 200 |
| City | PACIFIC PALISADES |
| State | CA |
| Zip Code | 90272-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279795 | Thomas Harrison Price | Pharmacist | 881 Alma Real Dr, Pacific Palisades, CA 90272-5015 | 2005-07-20 |
| 1083148811 | Ellen Corn | Physician Assistant | 881 Alma Real Dr, 103, Pacific Palisades, CA 90272-3731 | 2017-04-18 |
| 1053845172 | Max Moncayo Dds Dental Corporation | Dentist | 881 Alma Real Dr, Suite T4, Pacific Palisades, CA 90272-3731 | 2017-04-14 |
| 1467859595 | Serenity Family and Psychological Counseling Center, P.C. | Marriage & Family Therapist | 881 Alma Real Dr, Suite 310, Pacific Palisades, CA 90272-3731 | 2014-12-04 |
| 1790186757 | David W. Dorfman, Md, Dds, Inc. | Dentist | 881 Alma Real Dr, Suite 204, Pacific Palisades, CA 90272-3731 | 2014-09-09 |
| 1508272501 | Justine Sarah Dembo | Psychiatry & Neurology | 881 Alma Real Dr, Suite 311, Pacific Palisades, CA 90272-3731 | 2014-07-10 |
| 1699197400 | Luxe Hospice, Inc. | Hospice Care, Community Based | 881 Alma Real Dr, Suite T9b, Pacific Palisades, CA 90272-3731 | 2014-01-13 |
| 1376806612 | Shangrila Care Inc. | Reflexologist | 881 Alma Real Dr, T - 04, Pacific Palisades, CA 90272-3731 | 2012-06-21 |
| 1215294293 | William L Francis | Dentist | 881 Alma Real Dr, Suite T2, Pacific Palisades, CA 90272-3731 | 2012-04-16 |
| 1912272402 | Schendel Md Broujerdi Md Inc | Clinic/Center | 881 Alma Real Dr, Suite 204, Pacific Palisades, CA 90272-3731 | 2012-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053852590 | Lynn Watanabe | Dentist | 881 Alma Real Drive Suite 222, Pacific Palisades, CA 90272 | 2017-03-16 |
| 1891248217 | Ericka Hofmeyer | Marriage & Family Therapist | 17015 Pacific Coast Highway, Spc 28, Pacific Palisades, CA 90272 | 2016-08-02 |
| 1053767137 | Laura Kirkland | Dental Therapist | 984 Monument Drive, 207, Pacific Palisades, CA 90272 | 2016-05-09 |
| 1003288846 | Traig Ty Trumbo | Chiropractor | 12519 Sunset Blvd, Suite 203, Pacific Palisades, CA 90272 | 2015-10-20 |
| 1356712442 | Kathryn Hope Carter | Counselor | 881 Alma Real Drive, Suite 218, Reconnect Integrative Trauma Treatment Center, Pacific Palisades, CA 90272 | 2015-10-14 |
| 1922480946 | John Pietrzak | Psychologist | 15340 Albright St Unit 106, Pacific Palisades, CA 90272 | 2015-06-25 |
| 1841607652 | Babak Forooghi | Dentist | 15720 Ventura Blvd. Suite 311, Encino, CA 90272 | 2014-07-14 |
| 1679992374 | Julie Erickson | Marriage & Family Therapist | 1052 Kagawa Street, Pacific Palisades, CA 90272 | 2014-04-09 |
| 1669750816 | Communy Care At Home | Adult Companion | 1623 S. La Cienega Blvd, Los Angeles, CA 90272 | 2011-07-21 |
| 1548498165 | Norman J. Rubaum | Surgery | 620 Enchanted Way, Pacific Palisades, CA 90272 | 2009-06-23 |
| Find all providers in zip 90272 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952482259 | Kerry C. Davirro | Dentist | 881 Alma Real Dr, Suite 105, Pacific Palisades, CA 90272-3731 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | PACIFIC PALISADES |
| Zip Code | 90272 |
Please comment or provide details below to improve the information on DR. RICHARD LESLIE JACOBSON.
| 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.