DR. GARTH R JACOBSEN (NPI# 1265649966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265649966 |
| Entity Type | Individual |
| Full Name | DR. GARTH R JACOBSEN |
| Credential | MD |
| Practice Address |
200 W Arbor Drive #8220 San Diego CA 92103-8220 |
| Mailing Address |
2s661 Ave Normandy W Oak Brook IL 60523 |
| Practice Telephone | 6195436711 |
| Practice Fax Number | 6195435869 |
| Mailing Telephone | 6302711363 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A99668 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | IL | Allopathic & Osteopathic Physicians |
| Street Address |
200 W ARBOR DRIVE #8220 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-8220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710932223 | Justin Wayne Heil | Anesthesiology | 200 W Arbor Drive, University of California San Diego, San Diego, CA 92103-8770 | 2006-05-23 |
| 1396373312 | Kevin Sung | Student in an Organized Health Care Education/Training Program | 200 W Arbor Drive, San Diego, CA 92103 | 2020-03-27 |
| 1356908370 | Puja Gupta Takiar | Student in an Organized Health Care Education/Training Program | 200 W Arbor Drive, San Diego, CA 92103-8425 | 2019-05-24 |
| 1245791367 | Sonya Maryliz John | Student in an Organized Health Care Education/Training Program | 200 W Arbor Drive, San Diego, CA 92103-8425 | 2019-03-29 |
| 1295296515 | Bianca Rose Palushaj | Student in an Organized Health Care Education/Training Program | 200 W Arbor Drive, San Diego, CA 92103-8425 | 2019-03-28 |
| 1609335553 | Michelle Nguyen Keyser | Student in an Organized Health Care Education/Training Program | 200 W Arbor Drive, San Diego, CA 92103-8425 | 2019-03-19 |
| 1851889109 | Averie Tigges | Student in an Organized Health Care Education/Training Program | 200 W Arbor Drive, San Diego, CA 92103-8425 | 2018-04-23 |
| 1467949727 | Angharad Elizabeth Ames | Psychiatry & Neurology | 200 W Arbor Drive, San Diego, CA 92103-8425 | 2018-04-21 |
| 1902303423 | Daniel Corbally | Student in an Organized Health Care Education/Training Program | 200 W Arbor Drive, San Diego, CA 92103-8425 | 2018-04-11 |
| 1063940567 | Tristan Frederick Paris Mcknight | Student in an Organized Health Care Education/Training Program | 200 W Arbor Drive, San Diego, CA 92130-8720 | 2017-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1376185116 | Charles Theuer | Surgery | 4350 La Jolla Village Dr Ste 800, San Diego, CA 92122-1247 | 2019-10-14 |
| 1538656202 | Stewart Reese Logan | Surgery | 200 W Arbor Dr # Mc7220, San Diego, CA 92103-1911 | 2018-04-18 |
| 1447773114 | R R Gohil Md Apc | Surgery | 6386 Alvarado Ct Ste 330, San Diego, CA 92120-4908 | 2017-07-25 |
| 1720475148 | Advanced Wound Care, Inc | Surgery | 5124 Bloch St, San Diego, CA 92122-4005 | 2015-04-23 |
| 1841532843 | San Diego Emergency Physician Services, Inc. | Surgery | 6487 Dwane Ave, San Diego, CA 92120-3924 | 2013-03-18 |
| 1336488485 | Victor Herbert Lidner | Surgery | 809 Deal Ct, San Diego, CA 92109-8131 | 2013-02-10 |
| 1588909097 | San Diego Advanced Surgery P.C. | Surgery | 3245 University Ave # 501, San Diego, CA 92104-2009 | 2012-12-10 |
| 1700121472 | Vadim Avulov | Surgery | 6699 Alvarado Rd Ste 2309, San Diego, CA 92120-5241 | 2012-12-06 |
| 1194075861 | Rachel Kaye Voss | Surgery | 3146 Cowley Way, Apt 4, San Diego, CA 92117-6519 | 2012-09-10 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on DR. GARTH R JACOBSEN.
| 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.