Mr. Thomas Jacob

M.D. | Pediatrics | Male

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Complete Profile:

Mr. Thomas Jacob basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Mr. Thomas Jacob
Credential :	M.D.
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Mr. Thomas Jacob 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 :	4201 Torrance Blvd Ste 660 Torrance, CA, 90503 United States
Phone Number :	310-373-4303
Fax Number :	310-375-1935

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 :	1215295449
NPI Entity Type :	Individual
First Enrolment Date :	25 Apr, 2012
Last Updated On :	12 Sep, 2019

Medicare Participation:

Mr. Thomas Jacob participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9537472626
Medicare Enrollment ID :	I20150717002592
Primary Specialty :	Pediatric Medicine
Medical School :	Howard University College Of Medicine
Graduation Year :	2012
Accepts Medicare?	Yes. Mr. Thomas Jacob accepts medicare insurance.

Group Practice Association:

Mr. Thomas Jacob 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 Mr. Thomas Jacob 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
Uc Regents	4587568829	73	200 Medical Plz Los Angeles, CA - 900950001	Yes
Uc Regents	4587568829	73	300 Medical Plz Los Angeles, CA - 900950001	Yes
Uc Regents	4587568829	73	10833 Leconte Ave Los Angeles, CA - 900953075 Ph: 3108259124	Yes
Uc Regents	4587568829	73	10833 Le Conte Ave Los Angeles, CA - 900953075	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 Mr. Thomas Jacob are as mentioned. Primary taxonomy code for Mr. Thomas Jacob, M.D. is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	Yes	131098	CA

Other Practice Locations:

Practice Address	City, State	Phone Number
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA, 90095-7419 United States	LOS ANGELES, CA	310-825-0867

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 :	5767 W Century Blvd Ste 400 Los Angeles, CA, 90045-5631 United States

Business Location:

Patients can refer following map for directions to Mr. Thomas Jacob practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.