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JACOB DYLAN LUKE RN
NPI 1114780764
Clinic/Center - Medical Specialty in Placerville, CA

Active since February 05, 2024
935B SPRING ST, PLACERVILLE, CA 95667(530) 621-6213 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Dylan Luke Rn NPPES

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

JACOB DYLAN LUKE RN (NPI 1114780764) is an individual medical specialty provider in Placerville, California, licensed in California (95345401) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1114780764
Entity TypeIndividualMale
Primary Taxonomy261QM2500X
Provider Legal NameJACOB DYLAN LUKECredential: RN
Location Address935B SPRING STPlacerville, CA 95667-4523
Mailing Address1891 Cedar Oak RdPlacerville, CA 95667-7883
Phone(530) 621-6213
Sole ProprietorYes
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
✔ NPI 1114780764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · 95345401
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
935B SPRING ST, Placerville, CA 95667
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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.

EL DORADO COUNTY PSYCHIATRIC HEALTH FACILITY
Psychiatric Unit
935B SPRING ST
PLACERVILLE, CA 95667
El Dorado County (530) 621-6270
EVA MONTAYRE
Counselor (Mental Health)
935B SPRING ST
PLACERVILLE, CA 95667
El Dorado County (530) 621-6213
ANALEE LABRA
Social Worker
935B SPRING ST
PLACERVILLE, CA 95667
El Dorado County (530) 621-6210
AZUCENA RIVERA LVN
Licensed Vocational Nurse
935B SPRING ST
PLACERVILLE, CA 95667
El Dorado County (530) 748-4709
MAIJAI VANG
Registered Nurse
935B SPRING ST
PLACERVILLE, CA 95667
El Dorado County (530) 748-4709
MR. JON HAFFNER
Case Manager/Care Coordinator
935B SPRING ST
PLACERVILLE, CA 95667
El Dorado County (530) 621-6218
LYNNE DEHENNIS
Technician, Health Information
935B SPRING ST
PLACERVILLE, CA 95667
El Dorado County (530) 621-6211
MRS. ELAINE ELIZABETH YBARRA LPT
Licensed Psychiatric Technician
935B SPRING ST
PLACERVILLE, CA 95667
El Dorado County (530) 621-6213

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 Luke's NPI number?

The NPI number for Jacob Luke is 1114780764. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Jacob Luke located?

Jacob Luke practices at 935B Spring St, Placerville, CA 95667. The listed phone number is (530) 621-6213.

What is Jacob Luke's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Jacob Luke was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.