AD JACOBS (NPI# 1689717795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689717795 |
| Entity Type | Individual |
| Full Name | AD JACOBS |
| Practice Address |
202 Glacier Dr Martinez CA 94553-4826 |
| Mailing Address |
298 Mildred Ave Pittsburg CA 94565-3733 |
| Practice Telephone | 9259572757 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
244698 | CA | Nursing Service Providers |
| Street Address |
202 GLACIER DR |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-4826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124198700 | Contra Costa County | Clinic/Center | 202 Glacier Dr, Martinez, CA 94553-4826 | 2006-11-09 |
| 1205480019 | Kiira Noelle Poux | Student in an Organized Health Care Education/Training Program | 202 Glacier Dr, Martinez, CA 94553-4826 | 2019-07-30 |
| 1902467301 | Nadine Donaldson | Student in an Organized Health Care Education/Training Program | 202 Glacier Dr, Martinez, CA 94553-4826 | 2019-06-26 |
| 1902333891 | Melissa Harlow | Student in an Organized Health Care Education/Training Program | 202 Glacier Dr, Martinez, CA 94553-4826 | 2017-05-22 |
| 1255715900 | Kathryn Rosenberg | Counselor | 202 Glacier Dr, Martinez, CA 94553-4826 | 2015-07-13 |
| 1871912246 | Michele Dubowick | Marriage & Family Therapist | 202 Glacier Dr, Martinez, CA 94553-4826 | 2014-04-14 |
| 1144656315 | Christine Elizabeth Gerchow | Psychologist | 202 Glacier Dr, Martinez, CA 94553-4826 | 2013-09-19 |
| 1124454731 | Catherine Mary Cahill | Counselor | 202 Glacier Dr, Martinez, CA 94553-4826 | 2013-09-16 |
| 1285912006 | Genevieve Ann Green | Marriage & Family Therapist | 202 Glacier Dr, Martinez, CA 94553-4826 | 2011-07-27 |
| 1811122260 | Jean John Powers | Psychologist | 202 Glacier Dr, Martinez, CA 94553-4826 | 2009-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1063896892 | Patricia Anderson | Registered Nurse | 212 Woodland Dr, Martinez, GA 30907-1414 | 2015-07-10 |
| 1548381809 | Tabitha Walden Goldenberg | Registered Nurse | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2007-04-03 |
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|---|---|---|---|---|
| 1568063998 | Jonathan Eguia | Registered Nurse | 10161 Croydon Way Ste 2, Sacramento, CA 95827-2107 | 2020-11-03 |
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
| 1699372375 | Shawnalle Guadalupe Guzman | Registered Nurse | 125 Rowardennan Dr, Ben Lomond, CA 95005-9388 | 2020-10-06 |
| 1760091201 | Amara Michella Altman | Registered Nurse | 1796 Camino Verde Apt C, Walnut Creek, CA 94597-2291 | 2020-07-30 |
| 1609484476 | Loretta Lynn Ballard | Registered Nurse | 11514 Poema Pl Unit 102, Chatsworth, CA 91311-1114 | 2020-07-17 |
| 1174141550 | Aline Marie Bales | Registered Nurse | 1669 Marina Way, Brentwood, CA 94513-5133 | 2020-07-11 |
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
| 1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
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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.