DR. MARK DAVID JACOBSON (NPI# 1760551915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760551915 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID JACOBSON |
| Credential | M.D. |
| Practice Address |
5555 Reservoir Dr Ste 104 San Diego CA 92120-5198 |
| Practice Telephone | 6192866930 |
| Practice Fax Number | 6192869438 |
| Mailing Telephone | 6192866930 |
| Mailing Fax Number | 6192869438 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G71151 | CA | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
G71151 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE RR | 990010759 | 01 |
| CA | 00G711510 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841643178 | Mark Jacobson | Counselor | 3170 N Federal Hwy Ste 206e, Lighthouse Point, FL 33064-6720 | 2016-07-21 |
| 1326375437 | Mark S Jacobson | Dentist | 800 Rose St Rm D632, Lexington, KY 40536-0297 | 2009-11-10 |
| 1801935531 | Mark J Jacobson | Social Worker | 1677 Eureka Rd Ste 203, Roseville, CA 95661-3039 | 2007-02-06 |
| 1770509002 | Mark Edwin Jacobson | Ophthalmology | 1260 N Dutton Ave Ste 160, Santa Rosa, CA 95401-7139 | 2006-07-13 |
| 1124059076 | Mark C. Jacobson | Allergy & Immunology | 911 N Elm St Ste 300, Hinsdale, IL 60521-3642 | 2006-07-06 |
| 1306894423 | Mark David Jacobson | Radiology | 769 Highway 466, Lady Lake, FL 32159-6340 | 2006-05-04 |
| 1831178318 | Mark I Jacobson | Pathology | 560 White Plains Rd Fl 6, Tarrytown, NY 10591-5113 | 2006-01-12 |
| 1528480944 | Mark Jacobson | Psychologist | 234 1/2 Washington Ave, Grand Haven, MI 49417-3307 | 2014-01-21 |
| 1053561449 | Mark Edward Jacobson | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2008-09-23 |
| 1992898100 | Mark E Jacobson | Optometrist | 3409 Jerome Ave, Bronx, NY 10467-1049 | 2006-10-02 |
| Street Address |
5555 RESERVOIR DR STE 104 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285703413 | John Glenn Finkenberg | Orthopaedic Surgery | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2006-11-06 |
| 1699138891 | Matthew Wilson | Podiatrist | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2016-04-04 |
| 1174692206 | James Eric Bates | Orthopaedic Surgery | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2006-11-06 |
| 1033288071 | Eric Robert Horton | Specialist | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2006-11-06 |
| 1811066905 | Alvarado Orthopedic Medical Group, Inc. | Specialist | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650187 | Jb Ortho, Inc. | Orthopaedic Surgery | 4060 Fourth Ave Ste 630, San Diego, CA 92103-2118 | 2020-05-14 |
| 1962794198 | William Kent | Orthopaedic Surgery | 200 W Arbor Dr., San Diego, CA 92103 | 2011-05-05 |
| 1194014258 | Jaysson Trevor Brooks | Orthopaedic Surgery | 3030 Childrens Way Fl 3, San Diego, CA 92123-4232 | 2011-03-29 |
| 1821227463 | Robert K. Eastlack Md Inc | Orthopaedic Surgery | 5265 Amber View Pt, San Diego, CA 92130-6933 | 2009-07-03 |
| 1568627602 | Adam M Holleran | Orthopaedic Surgery | 2930 Barnard St Unit 7301, San Diego, CA 92110-5729 | 2008-07-28 |
| 1356505705 | Michael Lucius Pomerantz | Orthopaedic Surgery | 4445 Eastgate Mall Ste 105, San Diego, CA 92121 | 2008-07-15 |
| 1962660928 | Nilofar Faghihnia | Orthopaedic Surgery | 425 W Beech St Unit 1306, San Diego, CA 92101-2961 | 2008-05-27 |
| 1700074127 | Jeremy Bell Mccandless | Orthopaedic Surgery | 4060 4th Ave Ste 700, San Diego, CA 92103-2121 | 2007-10-10 |
| 1043418759 | Oke Adrian Anakwenze | Orthopaedic Surgery | 3750 Convoy St Ste 201, San Diego, CA 92111-3770 | 2007-07-03 |
| 1205996097 | Harish Sadanand Hosalkar | Orthopaedic Surgery | 15151 Almond Orchard Ln, San Diego, CA 92131-4328 | 2006-12-11 |
| Find all providers in SAN DIEGO | ||||
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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.