Dr. Bradley Alan Jacoby
D.O | Pediatrics | Male
Dr. Bradley Alan Jacoby, D.O is a Los Angeles, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Bradley Alan Jacoby is
1720 E Cesar E Chavez Ave, Los Angeles, California - 90033-2414. He can be contacted on phone at
323-268-5000.
Dr. Bradley Alan Jacoby is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Bradley Alan Jacoby is
1124459532 which was assigned by NPPES on 11 Dec, 2013 and it was last updated on 01 Dec, 2021.
Dr. Bradley Alan Jacoby license number is
20A12719 for Pediatrics (208000000X) in California.
Dr. Bradley Alan Jacoby is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Bradley Alan Jacoby basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Bradley Alan Jacoby |
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| Credential : | D.O |
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| Gender : | Male |
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Business Address:
Dr. Bradley Alan Jacoby address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1720 E Cesar E Chavez Ave
Los Angeles, CA, 90033-2414
United States |
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| Phone Number : | 323-268-5000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124459532 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Dec, 2013 |
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| Last Updated On : | 01 Dec, 2021 |
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Medicare Participation:
Dr. Bradley Alan Jacoby participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5193942035 |
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| Medicare Enrollment ID : | I20140815002108 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Western University Of Health Sciences College Of Dental Med |
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| Graduation Year : | 2011 |
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| Accepts Medicare? | Yes. Dr. Bradley Alan Jacoby accepts medicare insurance. |
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Group Practice Association:
Dr. Bradley Alan Jacoby is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Bradley Alan Jacoby is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Southern California Permanente Medical Group | 6002729175 | 8030 | 46900 Monroe St
Suite E
Indio, CA - 922014827
Ph: 8669847483 | Yes |
| Southern California Permanente Medical Group | 6002729175 | 8030 | 10800 Magnolia Ave
Riverside, CA - 925053043
Ph: 9513532000 | Yes |
| Southern California Permanente Medical Group | 6002729175 | 8030 | 14305 Meridian Pkwy
Riverside, CA - 925183034
Ph: 9512517300 | Yes |
| Southern California Permanente Medical Group | 6002729175 | 8030 | 27309 Madison Ave
Temecula, CA - 925905685
Ph: 9513532000 | Yes |
| Southern California Permanente Medical Group | 6002729175 | 8030 | 2055 Kellogg Ave
Corona, CA - 928793111
Ph: 8669847483 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bradley Alan Jacoby are as mentioned. Primary taxonomy code for Dr. Bradley Alan Jacoby, D.O is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 20A12719 | CA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 10800 MAGNOLIA AVE,
RIVERSIDE, CA, 92505-3043
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1720 E Cesar E Chavez Ave
Los Angeles, CA, 90033-2414
United States |
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| Phone Number : | 323-268-5000 |
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Business Location:
Patients can refer following map for directions to
Dr. Bradley Alan Jacoby practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.