| 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: Not Enrolled in Medicare 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 |