J. PAUL JACOBSON M.D. NPI 1801812904

NPI Information

  • NPI: 1801812904
  • Provider Name: J. PAUL JACOBSON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11234 ANDERSON ST
    LOMA LINDA, CA
    ZIP 92354
  • Phone: (909) 558-8311

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NPI Details

J. Paul Jacobson, M.D. is a diagnostic radiology radiology in Loma Linda, CA with 29 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. J. Paul Jacobson, M.D. NPI is 1801812904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

11234 ANDERSON ST
LOMA LINDA, CA
ZIP 92354-804
Phone: (909) 558-8311

The NPI 1801812904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance (HCPCS:62328)

The enumeration date for this NPI number is 7/14/2006 and was last updated on 7/8/2007.

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
12085R0202XRadiologyDiagnostic RadiologyA67757CALIFORNIAYes

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
100A677570MEDICARE ID-TYPE UNSPECIFIED
2I06235MEDICARE UPIN
300A677570MEDICAIDCALIFORNIA

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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