JACOB WEST
Student in an Organized Health Care Education/Training Program

Address: 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003

JACOB WEST (NPI# 1154815991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154815991
Entity Type Individual
Full Name JACOB WEST
Gender Male
Credential MD
Practice Address 300 Hillmont Ave, Bldg 340, Suite 201
Ventura
CA 93003
Practice Telephone 8056526100
Practice Fax Number 8056523252
Mailing Address 2323 Knoll Dr Ste 219
Ventura
CA 93003-7307
Mailing Telephone 8056775181
Mailing Fax Number 8056775304
Enumeration Date 2018-06-15
Last Update Date 2018-06-15
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Providers with the same name

NPI Name Taxonomy Address Enumeration
1427533488 Jacob West Physician Assistant 266 Joule St, Alcoa, TN 37701-2422 2018-09-26

Physician Overview

PECOS Associate Control (PAC) ID 8224462809
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20200107003491
Last Name WEST
First Name JACOB
Middle Name ALLEN
Organization Legal Name COUNTY OF VENTURA
Location 300 Hillmont Ave, Ventura, CA 93003-1651
Phone Number 8056543306
Medical School LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2018
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 7911810171
Number of Group Practice Members 204

Office Location

Street Address 300 HILLMONT AVE, BLDG 340, SUITE 201
City VENTURA
State CA
Zip Code 93003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427542828 Gabrielle Flamm Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-19
1083108963 Christopher Lam Family Medicine 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-14
1508359423 James Ahern Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-14
1578057311 Carolyn Pearce Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-15
1043704877 Mariela Nutter Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-15
1245724079 Robert Nieland Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-15
1285128025 Daryl Spak Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-15
1528552411 Thanh Van Mai Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-14
1356835243 Matthew Lamon Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-14
1144714973 John Nuhn Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-15
Find all in the same location

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1952876468 Isabella Florencia Gallegos Specialist/Technologist - Speech-Language Assistant 1857 Knoll Dr., Ventura, CA 93003 2018-10-11
1003329483 Kaiser Foundation Health Plan Inc · Kaiser Permanente Pharmacy #889c Pharmacy 4949 Market St Fl 3, Ventura, CA 93003 2017-11-08
1598267189 Oxnard Childrens Dental Group · Oxnard Childrens Dental Group Dba Ventura Childrens Dental Group Dentist - Pediatric Dentistry 5101 Telegraph Road Suite 104, Ventura, CA 93003 2018-02-28
1699284596 Sara Zolfaghari Dietitian, Registered 4840 Ellington St, Ventura, CA 93003 2017-09-22
1346735156 Lisa Ngoc Thi Nguyen Student in an Organized Health Care Education/Training Program 147 N. Brent Street, Ventura, CA 93003 2018-06-25
1457843955 Mary Jane Jones Nurse Practitioner 4667 Telegraph Rd, Ventura, CA 93003 2018-05-31
1063936409 Gabriela Valencia Social Worker - Clinical 260 Maple Ct Ste 260, Ventura, CA 93003 2017-07-27
1053839753 April Irene Shurtleff Terry · April Irene Shurtleff Nurse Practitioner - Family 2772 Johnson Dr Ste 200, Ventura, CA 93003 2017-09-01
1124516315 Marlene Jimenez Counselor - Mental Health 350 Hillmont Ave, Ventura, CA 93003 2018-04-24
1013438647 Mark A Ross Case Manager/Care Coordinator 4528 Telegraph Rd, Ventura, CA 93003 2017-07-05
Find all in zip 93003

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386232692 Ryan Vincent Bohan Student in an Organized Health Care Education/Training Program 9518 Hanford St, Ventura, CA 93004-0703 2021-01-04
1285257378 Elizabeth Patton Simoneit Student in an Organized Health Care Education/Training Program 300 Hillmont Ave., Bldg 340, Ste 101 & 201, Ventura, CA 93003 2020-05-22
1225658875 Addison Kaplan Student in an Organized Health Care Education/Training Program 375 Lynnbrook Ave, Ventura, CA 93003-2211 2020-04-23
1003436692 James Tynan Daly Student in an Organized Health Care Education/Training Program 147 N Brent St, Ventura, CA 93003-2809 2020-04-23
1205493665 Jemma Alarcon Student in an Organized Health Care Education/Training Program 300 Hillmont Ave Ste 201, Ventura, CA 93003-1651 2019-05-21
1184109894 Jazmin Amaro Student in an Organized Health Care Education/Training Program 4601 Telephone Rd Ste 117, Ventura, CA 93003-5672 2018-09-27
1346735156 Lisa Ngoc Thi Nguyen Student in an Organized Health Care Education/Training Program 147 N. Brent Street, Ventura, CA 93003 2018-06-25
1043704877 Mariela Nutter Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-15
1205342565 Nicholas Glover Student in an Organized Health Care Education/Training Program 1108a Dover Ln, Ventura, CA 93001-3806 2017-12-22
1942721527 Richard Alan Yusim Student in an Organized Health Care Education/Training Program 250 Sequoia Ave, Ventura, CA 93003-2539 2017-07-04
Find all providers in VENTURA

Competitor

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City VENTURA
Zip Code 93003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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