IVAN RICHARD JACOBS M.D. NPI 1093719858

NPI Information

  • NPI: 1093719858
  • Provider Name: IVAN RICHARD JACOBS, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • Address: 8501 WILSHIRE BLVD
    STE 316
    BEVERLY HILLS, CA
    ZIP 90211
  • Phone: (310) 652-2255

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NPI Details

Ivan Richard Jacobs, M.D. is an ophthalmology in Beverly Hills, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Ivan Richard Jacobs, M.D. NPI is 1093719858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8501 WILSHIRE BLVD
STE 316
BEVERLY HILLS, CA
ZIP 90211-128
Phone: (310) 652-2255
Fax: (310) 652-2039

The enumeration date for this NPI number is 6/9/2005 and was last updated on 9/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyC27493CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100C274930OTHERCALIFORNIABLUE SHIELD
2A33387MEDICARE UPINCALIFORNIA
300C274930MEDICAIDCALIFORNIA
4WC27493AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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