MR. JACOB AKIVA RIBAKOFF (NPI# 1447587605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447587605 |
Entity Type | Individual |
Full Name | MR. JACOB AKIVA RIBAKOFF |
Credential | PA-C |
Practice Address |
450 Bauchet St Los Angeles CA 90012-2907 |
Mailing Address |
442 Orange Blossom Irvine CA 92618-4450 |
Practice Telephone | 2138935543 |
Mailing Telephone | 9493514372 |
Enumeration Date | 2009-11-09 |
Last Update Date | 2019-05-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA20686 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2921 Saviers Rd, Oxnard, CA 930335314 | 8054875588 | |
1401 W 1st St, Santa Ana, CA 927033757 | 9493514372 |
Street Address |
450 BAUCHET ST |
City | LOS ANGELES |
State | CA |
Zip Code | 90012-2907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841214269 | Los Angeles County Department of Mental Health | Clinic/Center | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2006-07-27 |
1265031678 | Lorena Langie-sidahmed | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-10-19 |
1508476292 | Nahirobi Jasmin Madrid Antunez | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-08-06 |
1902415623 | Prince Bedford Acquah | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-07-28 |
1265041347 | Ogochukwu Ike | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-07-24 |
1861019226 | Takeisa Denise Crowder | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-07-01 |
1649894320 | Trini Mong Bui | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-05-29 |
1568086221 | Hanh Minh Phu | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-05-28 |
1124641998 | Edwin Torres | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-05-27 |
1942821665 | Ann Olufunke Carter | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-05-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538654124 | Los Angeles County Children and Families First - Proposition 10 Commis | Case Management | 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 | 2018-06-26 |
1750886511 | Pain Control Clinic | Acupuncturist | 321 E. 1st St. #220, Los Angeles, CA 90012 | 2018-03-26 |
1891224325 | Brenda D Sazo | Community Health Worker | 1000 N. Alameda St, # 350, Los Angeles, CA 90012 | 2017-06-08 |
1740719012 | Fatemeh Arabpour | Dentist | 505 N Figueroa Apt #534, Los Angeles, CA 90012 | 2017-06-08 |
1033667662 | Olga Witrago | Case Manager/Care Coordinator | 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 | 2016-09-12 |
1902269962 | Samantha Martinez | Licensed Practical Nurse | 701 West Cesar Chavez Av, Los Angeles, CA 90012 | 2016-03-29 |
1760847313 | Maria Emilia Manosa Rosales | Social Worker | 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 | 2015-12-28 |
1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
1831586288 | Thanh Ngoc Nguyen Trinh | Nurse Practitioner | 180 N Los Angeles St, Los Angeles, CA 90012 | 2015-04-23 |
1760880827 | Bertha Regina Garcia | Licensed Vocational Nurse | 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 | 2014-12-05 |
Find all providers in zip 90012 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
1942738943 | Sophavy Suon | Physician Assistant | 11611 San Vicente Blvd Lbby Level, Los Angeles, CA 90049-5106 | 2017-06-02 |
1619429503 | Rachel Frankenthal | Physician Assistant | 200 Medical Plz Ste 220, Ucla Department of Obgyn, Los Angeles, CA 90095-0001 | 2016-10-26 |
1982152815 | Accessmed A Physician Assistant Professional Corporation | Physician Assistant | 1055 W 7th St Fl 33, Los Angeles, CA 90017-2577 | 2016-09-20 |
1043766363 | Amber Joy Rangel | Physician Assistant | 2523 Armacost Ave, Los Angeles, CA 90064-2715 | 2016-08-28 |
1184080459 | Doreen Yasharel | Physician Assistant | 824 S Wooster St Apt 306, Los Angeles, CA 90035-1745 | 2016-01-02 |
1649649443 | Thuy Vo | Physician Assistant | 5841 Bowcroft St, Unit 2, Los Angeles, CA 90016-4955 | 2015-09-22 |
1649655663 | Carlee Ettinger | Physician Assistant | 2751 Rinconia Dr, Los Angeles, CA 90068-2227 | 2015-07-21 |
1841681467 | Lauren Layson | Physician Assistant | 4049 Via Marisol, Los Angeles, CA 90042-5055 | 2015-02-18 |
1871981282 | Dianne Desiree Rivera Navoa | Physician Assistant | 8631 W 3rd St Ste 1035e, Los Angeles, CA 90048-5964 | 2015-01-07 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90012 |
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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.