JACOB R GARCIA (NPI# 1750491585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750491585 |
| Entity Type | Individual |
| Full Name | JACOB R GARCIA |
| Credential | MD |
| Practice Address |
747 52nd St Dept of Pediatric Hematology/oncology Oakland CA 94609-1809 |
| Practice Telephone | 5104283885 |
| Practice Fax Number | 5106013916 |
| Mailing Telephone | 5104283885 |
| Mailing Fax Number | 5106013916 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
A97544 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| 1487990537 | Jacob C Garcia | Social Worker | 1551 Indian Hills Dr Ste 214, Sioux City, IA 51104-1857 | 2012-12-18 |
| 1023267341 | Jacob Bill Garcia | General Acute Care Hospital | 4055 Park Ln, Dallas, TX 75220-1811 | 2008-09-10 |
| 1740899434 | Jacob Garcia | Pharmacist | 14505 Nw Military Hwy, Shavano Park, TX 78231-1629 | 2020-07-28 |
| 1477180131 | Jacob P Garcia | Behavior Technician | 9360 N Name Uno Ste 130, Gilroy, CA 95020-3535 | 2020-03-24 |
| 1265068902 | Jacob Ariel Garcia | Nurse Practitioner | 4499 Medical Dr Ste 166, San Antonio, TX 78229-3771 | 2020-03-13 |
| 1841848207 | Jacob Jason Garcia | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-08-29 |
| 1558915249 | Jacob Garcia | Behavior Technician | 75 Park Creek Dr Ste 104, Clovis, CA 93611-4432 | 2019-07-30 |
| 1790211209 | Jacob Lee Garcia | Nurse Practitioner | 150 E Sonterra Blvd, Suite 220, San Antonio, TX 78258-4098 | 2017-05-03 |
| 1396150850 | Jacob M Garcia | Obstetrics & Gynecology | 1303 Mccullough Ave Ste Gl70, San Antonio, TX 78212-5631 | 2014-06-24 |
| Street Address |
747 52ND ST DEPT OF PEDIATRIC HEMATOLOGY/ONCOLOGY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200928 | James Philip Riddel Jr. | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2005-07-29 |
| 1235739905 | Maria Elena Alicia Valdivia Fortuna | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-10-30 |
| 1295342707 | Jenny Chen | Dietitian, Registered | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-29 |
| 1104433028 | Phuong T Nguyen-tran | Pharmacist | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-24 |
| 1114538899 | Ji Yun Lee | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-14 |
| 1780295857 | Luis Alonso Perez Jr. | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-12 |
| 1255941803 | Aleesia Renta-ramirez | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-07 |
| 1831709773 | Carroll Taylor Brown IIi | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-05 |
| 1053921064 | Jessica Stankiewicz Lightcap | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-04 |
| 1184242307 | Cecilia Fairley | Genetic Counselor, MS | 747 52nd St, Oakland, CA 94609-1809 | 2020-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023048469 | Ashutosh Lal | Pediatrics | Hematology/oncology, Children's Hospital, 747 52nd St, Oakland, CA 94609-1809 | 2006-07-03 |
| 1942843206 | Julie Deane Saba | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2019-10-18 |
| 1043873557 | Lea Shangraw Fox | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2019-04-19 |
| 1003326323 | Natalie Plotkin | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2017-10-02 |
| 1295051340 | Michael Winstead | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2010-04-14 |
| 1346485026 | Anurag Kishor Agrawal | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2008-12-09 |
| 1225253180 | Bertram Lubin | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2007-04-16 |
| 1568503712 | Lynne Neumayr | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2007-02-09 |
| 1528117256 | Jennifer Gibney Michlitsch | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2007-01-10 |
| 1831246206 | Barbara J Beach | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2007-01-05 |
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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.