JACOB EAPEN MD
NPI 1104888072
Pediatrics in San Jose, CA

Q: What is Jacob Eapen's NPI number?

The NPI number for Jacob Eapen is 1104888072. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Jacob Eapen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Eapen was last updated on May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 05, 2006

751 S BASCOM AVE, PEDIATRICS DEPARTMENT, SAN JOSE, CA 95128(408) 885-5000 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacob Eapen Md NPPES

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

JACOB EAPEN MD (NPI 1104888072) is an individual pediatrics provider in San Jose, California, licensed in California (A521082) and active in the NPI registry since April 2006. He is a graduate of Other (1985).

NPPES Registry Identity

NPI1104888072

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJACOB EAPENCredential: MD

Location Address751 S BASCOM AVE, PEDIATRICS DEPARTMENTSan Jose, CA 95128-2604

Mailing Address43525 Gallegos AveFremont, CA 94539-5755 · (510) 226-8778

Phone(408) 885-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateApril 5, 2006

Last NPPES UpdateMay 7, 2013

✔ NPI 1104888072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A521082

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

751 S BASCOM AVE, San Jose, CA 95128

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Other Identifiers 3

Medicaid00A510820CA

Medicare UPINF75641CA

Medicare ID-Type Unspecified00A510821CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Eapen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072607506

PECOS Enrollment IDI20251113002373

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TRANG N NGUYEN PHARM.D

Pharmacist

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-2360

DR. ILANA TRAYNIS M.D.

Student in an Organized Health Care Education/Training Program

751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128

Santa Clara County (408) 885-6300

DR. ABBY KATHERINE SCURFIELD MD

Student in an Organized Health Care Education/Training Program

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

GABRIELLE MINEHAN CCP

Perfusionist

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

PRIYA NIGAM MD

Student in an Organized Health Care Education/Training Program

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

CAROLINE DENISON JORDAN

Student in an Organized Health Care Education/Training Program

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

MICHAEL NATHANSON MD, PHD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

EAMONN PATRICK DUNPHY MD

Internal Medicine

751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128

Santa Clara County (408) 885-4150

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 Jacob Eapen's NPI number?

The NPI number for Jacob Eapen is 1104888072. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Jacob Eapen located?

Jacob Eapen practices at 751 S Bascom Ave Pediatrics Department, San Jose, CA 95128. The listed phone number is (408) 885-5000.

What is Jacob Eapen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacob Eapen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Eapen was last updated on May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.