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KARLISLE JAKOSALEM FNP-C
NPI 1124978507
General Practice in Anaheim, CA

Active since February 03, 2026
3400 W BALL RD STE 205, ANAHEIM, CA 92804(714) 828-2554(714) 828-6267 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karlisle Jakosalem Fnp-c NPPES

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

KARLISLE JAKOSALEM FNP-C (NPI 1124978507) is an individual general practice provider in Anaheim, California, licensed in California (NP95031669) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1124978507
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameKARLISLE JAKOSALEMCredential: FNP-C
Location Address3400 W BALL RD STE 205Anaheim, CA 92804-3737
Mailing Address3400 W Ball Rd Ste 205Anaheim, CA 92804-3737 · (714) 828-2554 · Fax (714) 828-6267
Phone(714) 828-2554
Fax(714) 828-6267
Sole ProprietorNo
Enumeration DateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
✔ NPI 1124978507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · NP95031669
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3400 W BALL RD STE 205, Anaheim, CA 92804
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Other Providers at the Same Location NPPES 3

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

MIR M ALI M D A PROFESSIONAL CORPORATION
Internal Medicine
3400 W BALL RD STE 205
ANAHEIM, CA 92804
Orange County (714) 828-2554
ZEENATH MASOOD M.D.
Family Medicine
3400 W BALL RD STE 205
ANAHEIM, CA 92804
Orange County (714) 828-2554
ZEENATH MASOOD MD INC - FAMILY PRACTICE
Family Medicine
3400 W BALL RD STE 205
ANAHEIM, CA 92804
Orange County (714) 828-2554

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 Karlisle Jakosalem's NPI number?

The NPI number for Karlisle Jakosalem is 1124978507. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is Karlisle Jakosalem located?

Karlisle Jakosalem practices at 3400 W Ball Rd Ste 205, Anaheim, CA 92804. The listed phone number is (714) 828-2554.

What is Karlisle Jakosalem's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Karlisle Jakosalem was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.