Mark Matthew Jacobs, MD | |
3553 Whipple Road, San Leandro, CA 94587-1507 | |
(510) 454-1000 | |
(415) 499-4213 |
Full Name | Mark Matthew Jacobs |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 3553 Whipple Road, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679533186 | NPI | - | NPPES |
G45317 | Other | CA | CA STATE LICENSE NUMBER |
00G453170 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | G45317 (California) | Primary |
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | G45317 (California) | Secondary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Regents Univ Of California Ucsf |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375 |
Mailing Address | Practice Location Address |
---|---|
Mark Matthew Jacobs, MD 3553 Whipple Road, Union City, CA 94587-1507 Ph: (510) 454-1000 | Mark Matthew Jacobs, MD 3553 Whipple Road, San Leandro, CA 94587-1507 Ph: (510) 454-1000 |
Clara Lee, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Stephanie Kong, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-807-1557 | |
Marie Louise La Cour, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Colleen Marie Kavanagh, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Alicia Pamela Sinclair, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Leslie Gendler Wilkof, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Stephanie Cai, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2500 Merced St # 406, San Leandro, CA 94577 Phone: 510-427-3408 |