JACE DOUGLAS JACOBSEN (NPI# 1871116004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871116004 |
| Entity Type | Individual |
| Full Name | JACE DOUGLAS JACOBSEN |
| Practice Address |
6442 Gloria Dr Huntington Beach CA 92647-4226 |
| Practice Telephone | 8058142463 |
| Mailing Telephone | 8058142463 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 832119 | CA | Nursing Service Providers |
| Street Address |
6442 GLORIA DR |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056350 | Rebecca Mary Westergaard | Registered Nurse | 19581 Constellation Ln, Huntington Beach, CA 92646-3705 | 2020-09-07 |
| 1003426032 | John Michael Lear | Registered Nurse | 4921 Hilo Cir, Huntington Beach, CA 92649-2306 | 2020-08-04 |
| 1033731872 | Kimberly Garrity | Registered Nurse | 16847 Roosevelt Ln, Huntington Beach, CA 92649-4002 | 2020-05-14 |
| 1043872260 | Kristina K. Lovelace | Registered Nurse | 7551 Amazon Dr Unit C, Huntington Beach, CA 92647-8653 | 2019-07-09 |
| 1447787619 | Kristen Viana | Registered Nurse | 22201 Cape May Ln, Huntington Beach, CA 92646-8416 | 2017-05-17 |
| 1780138198 | Michelle Lea Waldbaum | Registered Nurse | 5902 Nugget Cir, Huntington Beach, CA 92647-2131 | 2016-08-15 |
| 1811441454 | Lydia Forbang | Registered Nurse | 6100 Edinger Ave, 724, Huntington Beach, CA 92647-3242 | 2016-08-11 |
| 1326409061 | Christina Vosburg | Registered Nurse | 1325 Delaware St Apt 102, Huntington Beach, CA 92648-3728 | 2016-03-08 |
| 1659737633 | Carl William Glover | Registered Nurse | 1936 Pine St, Huntington Beach, CA 92648-2761 | 2016-01-07 |
| 1245611904 | Nicole Powch | Registered Nurse | 21385 Green Cove Cir, Huntington Beach, CA 92646-7512 | 2015-06-17 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
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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.