DR. ALAN JACOBS


Address: 3721 Ortega Ct, Palo Alto, CA 94303-4451
Phone: 6505755260

DR. ALAN JACOBS (NPI# 1407169345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407169345
Entity Type Individual
Full Name DR. ALAN JACOBS
Credential M.D., PH.D.
Practice Address 3721 Ortega Ct
Palo Alto
CA 94303-4451
Practice Telephone 6505755260
Practice Fax Number 6502307130
Mailing Telephone 6505755260
Mailing Fax Number 6502307130
Enumeration Date 2010-07-21
Last Update Date 2010-07-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice G083705 CA Allopathic & Osteopathic Physicians

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Office Location

Street Address 3721 ORTEGA CT
City PALO ALTO
State CA
Zip Code 94303-4451

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City PALO ALTO
Zip Code 94303

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Dataset Information

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.

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