MARK MATTHEW JACOBS (NPI# 1679533186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679533186 |
| Entity Type | Individual |
| Full Name | MARK MATTHEW JACOBS |
| Credential | M.D. |
| Practice Address |
3553 Whipple Road San Leandro CA 94587-1507 |
| Mailing Address |
3553 Whipple Road Union City CA 94587-1507 |
| Practice Telephone | 5104541000 |
| Practice Fax Number | 4154994213 |
| Mailing Telephone | 5104541000 |
| Mailing Fax Number | 4154994213 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2015-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G45317 | CA | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
G45317 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA STATE LICENSE NUMBER | G45317 | 01 |
| CA | 00G453170 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598101289 | Mark Jacobs | Pharmacist | 736 Elm, Winnetka, IL 60093-2506 | 2013-05-21 |
| 1497889570 | Mark L Jacobs | Chiropractor | 24825 Northern Blvd, Little Neck, NY 11362-1280 | 2007-03-14 |
| 1346311560 | Mark S Jacobs | Dentist | 802 N Broadway, Melrose Park, IL 60160-3726 | 2006-11-10 |
| 1598770273 | Mark J Jacobs | Dentist | 16824 Newburgh Rd, Livonia, MI 48154-1600 | 2006-07-30 |
| 1457392466 | Mark Edward Jacobs | Optometrist | 507 Greenville Blvd Se, Greenville, NC 27858-6756 | 2006-06-09 |
| 1487638409 | Mark I Jacobs | Internal Medicine | 73 Corporate Dr Ste 101, Portsmouth, NH 03801-2847 | 2005-12-02 |
| 1124013883 | Mark D. Jacobs | Internal Medicine | 100 2nd Ave, Needham, MA 02494-2809 | 2005-09-19 |
| 1295737617 | Mark Steven Jacobs | Psychiatry & Neurology | 4888 Loop Central Dr, Suite 510, Houston, TX 77081-2214 | 2005-08-15 |
| 1124023809 | Mark A Jacobs | Optometrist | 3810 S Highway 27, Suite 1, Somerset, KY 42501-3073 | 2005-06-17 |
| 1073515201 | Mark A Jacobs | Obstetrics & Gynecology | 7580 Fannin St Ste 210, Houston, TX 77054-1939 | 2005-06-01 |
| Street Address |
3553 WHIPPLE ROAD |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94587-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467876714 | Michelle Minhchau Doan | Psychologist | 3553 Whipple Road, San Leandro, CA 94587-1507 | 2014-02-06 |
| 1972651040 | Stephen Hyun Jo | Otolaryngology | 3553 Whipple Road, San Leandro, CA 94587-1507 | 2007-01-08 |
| 1174602965 | Frank Lee | Otolaryngology | 3553 Whipple Road, San Leandro, CA 94587-1507 | 2006-11-03 |
| 1144309832 | Milton Bryant Chan | Internal Medicine | 3553 Whipple Road, San Leandro, CA 94587-1507 | 2006-11-03 |
| 1639257488 | Gurpreet Kaur Hazra | Internal Medicine | 3553 Whipple Road, San Leandro, CA 94587-1507 | 2006-11-01 |
| 1083792832 | Alan Curtis Jung | Internal Medicine | 3553 Whipple Road, San Leandro, CA 94587-1507 | 2006-11-01 |
| 1861570624 | Mary Saeun Hong | Internal Medicine | 3553 Whipple Road, San Leandro, CA 94587-1507 | 2006-11-01 |
| 1114004074 | Juancho Robles Libiran | Internal Medicine | 3553 Whipple Road, San Leandro, CA 94587-1507 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114580800 | Abigail Karon Kelley | Behavioral Analyst | 3804 Shinglewood Ct, Union City, CA 94587 | 2019-04-17 |
| 1689140956 | Sindhu Jefferson | Specialist/Technologist | Ascend Rehab Services, 29516 Kohoutek Way, Union City, CA 94587 | 2018-10-15 |
| 1538653803 | Zaira Ramirez | Behavioral Analyst | 362 Teddy Dr, Union City, CA 94587 | 2018-06-19 |
| 1922501113 | Mariah L Flores | Behavior Technician | 34858 Starling Dr, Union City, CA 94587 | 2018-03-14 |
| 1528569464 | Herbert C K Chiu Dds, A Professional Corporation | Dentist | 2701 Decoto Rd Suite 4, Union City, CA 94587 | 2018-02-26 |
| 1760995765 | Tran N Bianconi | Optometrist | 3553 Whipple Rd Fl 1, Union City, CA 94587 | 2017-11-13 |
| 1649795022 | Lambert Javier Chiropractic, Inc | Clinic/Center | 32145 Alvarado Niles Rd Ste 206, Union City, CA 94587 | 2017-08-07 |
| 1023531779 | Dawn Christine Holderfield | Behavioral Analyst | 33635 9th St, Appt. 1, Union City, CA 94587 | 2017-07-24 |
| 1972031466 | Eloisa Panopio | Behavioral Analyst | 4372 Queen Anne Drive, Union City, CA 94587 | 2017-05-26 |
| 1801244884 | Loryann Gurion | Dentist | 32364 Dyer St., Union Landing Dental Center, Union City, CA 94587 | 2016-05-31 |
| Find all providers in zip 94587 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811330558 | Mary Dolan Crisham Janik | Obstetrics & Gynecology | 2500 Merced St Fl 3, San Leandro, CA 94577-4201 | 2013-04-11 |
| 1023367141 | Kerry-ann Alyscia Kelly | Obstetrics & Gynecology | 2500 Merced St, Ob/gyn Department, San Leandro, CA 94577-4201 | 2012-09-05 |
| 1770858904 | Kristen Misiak Everett | Obstetrics & Gynecology | 2500 Merced St Dept Of, San Leandro, CA 94577-4201 | 2012-03-21 |
| 1629372180 | Jolyn Chen | Obstetrics & Gynecology | 2500 Merced St, San Leandro, CA 94577-4201 | 2010-12-27 |
| 1144372947 | Marie Louise La Cour | Obstetrics & Gynecology | 2500 Merced St, San Leandro, CA 94577-4201 | 2007-01-18 |
| 1730255332 | Michael Joseph Mcglynn Jr. | Obstetrics & Gynecology | 433 Estudillo Ave, #303, San Leandro, CA 94577-4915 | 2006-11-27 |
| 1578635397 | Linda Catherine Pollack Degusta | Obstetrics & Gynecology | 2500 Merced St, San Leandro, CA 94577-4201 | 2006-11-15 |
| 1700957610 | Sarah Pei-en Mark-drasin | Obstetrics & Gynecology | 2500 Merced St, San Leandro, CA 94577-4201 | 2006-11-13 |
| 1952489965 | John F. Polito | Obstetrics & Gynecology | 1300 Bancroft Ave, Suite G 4, San Leandro, CA 94577-5147 | 2006-11-01 |
| 1770661522 | Simone Louise Katz | Obstetrics & Gynecology | 2500 Merced St, San Leandro, CA 94577-4201 | 2006-11-01 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94587 |
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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.