Mrs Stephanie Ann Serpas Jacobo, RD - Dietitian in West Covina, CA

Mrs Stephanie Ann Serpas Jacobo, RD is a Dietitian, Registered based in West Covina, California. Mrs Stephanie Ann Serpas Jacobo is licensed to practice in California (license number 1106905) and her current practice location is 420 South Glendora Avenue, West Covina, California. She can be reached at her office (for appointments etc.) via phone at (626) 919-5724.

NPI number for Mrs Stephanie Ann Serpas Jacobo is 1578956611 and her current mailing address is 420 South Glendora Avenue, West Covina, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578956611.

Contact Information

Mrs Stephanie Ann Serpas Jacobo, RD
420 South Glendora Avenue,
West Covina, CA 91790-5320
(626) 919-5724
(626) 214-9744

Map and Direction




Healthcare Provider's Profile

Full NameMrs Stephanie Ann Serpas Jacobo
GenderFemale
SpecialityDietitian, Registered
Location420 South Glendora Avenue, West Covina, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578956611
  • Provider Enumeration Date: 03/13/2015
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Mrs Stephanie Ann Serpas Jacobo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578956611NPI-NPPES
1578956611MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 1106905 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stephanie Ann Serpas Jacobo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Stephanie Ann Serpas Jacobo, RD
420 South Glendora Avenue,
West Covina, CA 91790-5320

Ph: (626) 919-5724
Mrs Stephanie Ann Serpas Jacobo, RD
420 South Glendora Avenue,
West Covina, CA 91790-5320

Ph: (626) 919-5724

Reviews and Comments


Dietitian, Registered in West Covina, CA

Michelle Anne Chon, RDN
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Ms. Crystal Ortiz, RDN
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Phone: 626-616-1562    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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