EVELINDA D JACOB DDS
NPI 1033358593
Dentist in Granada Hills, CA

Active since February 06, 2009PECOS Enrolled
17100 MANDARIN CT, GRANADA HILLS, CA 91344(818) 832-7002 Get Directions Write a Review

NPPES record last updated: February 6, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evelinda D Jacob Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVELINDA D JACOB DDS (NPI 1033358593) is an individual dentist in Granada Hills, California, licensed in California (56122) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033358593
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameEVELINDA D JACOBCredential: DDS
Location Address17100 MANDARIN CTGranada Hills, CA 91344-2308
Mailing Address17100 Mandarin CourtGranada Hills, CA 91344 · (818) 832-7002
Sole ProprietorNo
Enumeration DateFebruary 6, 2009
NPI 1033358593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 56122
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
17100 MANDARIN CT, Granada Hills, CA 91344

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Evelinda D Jacob Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evelinda Jacob's NPI number?

The NPI number for Evelinda Jacob is 1033358593. It was assigned to this individual provider in the NPPES registry on February 6, 2009.

Where is Evelinda Jacob located?

Evelinda Jacob practices at 17100 Mandarin Ct, Granada Hills, CA 91344. The listed phone number is (818) 832-7002.

What is Evelinda Jacob's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Evelinda Jacob enrolled in Medicare?

Yes. Evelinda Jacob is registered in the Medicare PECOS enrollment system.

What insurance does Evelinda Jacob accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Evelinda Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evelinda Jacob was last updated on February 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.